Clinical Pharmacology
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
Respiratory Rate
A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload?
-Jugular vein distention -Confusion -Dyspnea
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instruction should the nurse include in the teaching?
Apply the transdermal patch in the morning.
A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?
Disulfiram (DIAZEPAM)
A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?
Do not take this medication before bedtime. (TAKE THE MEDICATION WITH A FULL GLASS OF WATER.)
A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?
Increased heart rate
A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?
Inject the medication into the abdomen above the level of the iliac crest.
A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?
Insomnia
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Sodium
A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis?
Enoxaparin subcutaneous
A nurse is teaching a client who has angina pectoris about starting therapy with sublingual nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Take one tablet at the first indication of chest pain.
A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?
Anorexia
A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?
Avoid activities that require alertness such as driving.
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?
Drop prescribed amount of medication into the conjunctival sac.
A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions for this client?
Enoxaparin
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Flushing (DYSPNEA)
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?
Metallic Taste
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
Protamine sulfate
A nurse is caring for a client who has a fractured ulna and a new prescription for cyclobenzaprine. Before administering, which of the following explanations should the nurse provide to explain the purpose of the medication?
The medication will relieve muscle spasms that might occur with a fracture.
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
A headache is an expected adverse effect of the medication.
