CON - Pharm 1

A nurse is caring for a male client asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the clients about alosetron?

The drug is prescribed to female clients who have IBS-D lasting more than six months

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be hight than the IV dose for which of the following reasons?

The oral form has decreased bioavilability because of the first-pass effect

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following?

Therapeutic effect

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities?

They have similar mechanisms of actions

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

To determine if dosage modification is indicated

A nurse is teaching a client who has a new prescription for sulfasalazine which of the following statements should the nurse make

Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include?

"Avoid driving or activities requiring alertness"

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?

"This will increase the effects of normal cellular functions."

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?

"itching can indicate a hypersensitivity to amoxicillin."

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesics drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (Select all that apply.)

-Clients can achieve desired effects with the use the lower dosages -Both drugs have similar actions

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? (Select all that apply.)

-Impaired cognitive level -Language barrier -Discomfort -Unreadiness to learn

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron which of the following actions should the nurse plan to take select all that apply

-Infuse the drug 30 minutes prior to chemotherapy -Infuse the drugs slowly over 15 minutes -Repeat the dose four hours after chemotherapy

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following indicates an anaphylactic reaction? (Select all that apply.)

-Low blood pressure -Wheezing -Difficulty swallowing

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over-the-counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (Select all that apply.)

-Newborn's weight -How much breast milk the newborn consumes each day -Whether or not the benefits to the mother outweigh the risks to the newborn -Properties of the drug

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (Select all that apply.)

-Periodic laboratory tests are essential to measure serum drug levels -Monitoring for indications of toxicity is important -Taking the smallest effective dose is crucial

The nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

A positive pregnancy test

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse affects of the drug?

Abdominal Pain

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?

Adverse effect

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for Azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider?

Allopurinol delays the conversion of azathioprine and can lead to toxicity

Which of the following drugs has protocols that require clients to meet specific risk management criteria and sign a treatment agreement before the nurse can administer the drug?

Alosetron

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs?

Aluminum hydroxide

A nurse is caring for a client who has a new prescription for ranitidine to treat Gerd. The nurse should instruct the client to wait at least one hour between taking ranitidine and which of the following over the counter drugs?

Antacids

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

The nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?

Aspirin sensitivity

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction should the nurse include?

Avoid activities that require alertness

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching?

Contact your provider is adverse effect occur

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug?

Dizziness

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times a day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

Extended-release tablet

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

Fetal Malformation

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

Gout

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

Indications

The nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Inflammatory bowel disease

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic names for a drug in which of the following ways?

It begins with a lower-case letter

A nurse is revewing the medical record of a client who has a new prescription for famotidine. The nuse should regognize that which of the following drugs interacts with famotidine?

Ketoconazole

A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following?

Lethargy

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

Nausea

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following?

One formed stool per day

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?

Pharmacologic Action

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?

Precautions

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching?

Do not crush or chew the tablet

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following?

Drug toxicity

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects?

Prevents straining

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least two hours apart for which of the following reasons?

Sucralfate interferes with the absorption of phenytoin.

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instruction should the nurse include?

Swallow the capsules whole

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all that apply)

-Skin integrity -Temperature -CBC

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all that apply)

-Take a drug 30 to 60 minutes before activities not trigger nausea -Avoid activities that require alertness -Increase fluid and fiber intake.

A nurse is obtaining a client's health history and discovers that the client takes loratadine, and over-the-counter drug. The nurse should identify that which of the following is correct regarding over-the-counter drugs? (Select all the apply.)

-They do not require the supervision of the nurse -They can interact the other drugs -The should be included in the client's drug history assessment

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize that client's risk for which of the following?

Drug toxicity

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all that apply)

Take the drug with at least 8 ounces of fluid. Increase fluid and fiber intake.