custom pharm 237

A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol Which of the following instructions should the nurse include?

"This medication will provide long-term control of your asthma symptoms"

A nurse is caring for a client who is receiving IV tobramycin and has a prescription for peak and trough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following times?

1745 and 1830

A nurse is preparing to administer Levothyroxine 100 mcg po to a client who has hypothyroidism Available is Levothyroxine 50 mcg tablets How many tablets should the nurse administer? (Round the answer to the nearest whole number Use a leading zero if it applies Do not use a trailing zero.)

2

A nurse is preparing m administer 0.9% sodium chloride(NS)100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual iv infusion to deliver how many gtt/min.'(Round the answer to the the nearest whole number.)

25

A nurse is preparing to administer a client's daily dose of NPH insulin at um, The nurse should expect this type of insulin to peak within which of the following timeframes after administration?

4-14 hrs

A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?

A client taking furosemide for chronic hypertension

A nurse is preparing re administer ofloxacin otic drops in an adult client who has otitis externa, Which of the following actions should the nurse take?

Apply gentle pressure with a finger to the tragus of the ear.

A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlled analgesia. The client has a prescription for naloxone. The nurse understands that the purpose of naloxone is which of the following?

Block the effects of opioids on the Central nervous system

A nurse in e provider's office is collecting data from a client who has systemic lupus erythematosus (5le and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which of the following is an adverse effect of this medication?

Blurred vision.

A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. which of the following is the priority nursing action?

Check the client's vital signs

A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy' which of the following statements is appropriate to include in the instructions?

Clients who are pregnant should not take warfin

A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

Furosemide 80 mg PO daily

A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Heart failure

A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which oi the following client statements indicates an understanding of the teaching?

I need to notify my provider if I don't get some relief from my muslce spams within 3 months.

A nurse is reinforcing teaching with the parents of a preschool-age child who has asthma and a prescription for Montelukast chewable tablets. which of the following statements by a parent indicates understanding of the teaching?

I will have my child chew the tablet every evening.

A nurse is reinforcing discharge teaching with a client what is postoperative following hip arthroplasty and is ta continue use of enaxaparin at home. Which 05 the following statements by the client indicates an understanding 05 the teaching?

I will need to give myself an injection in my abdomen twice a day

A nurse is preparing to administer heparin intravenously to a client. which of the following actions should the nurse take?

Obtain an infusion pump to regulate the continuous flow of the medication

A nurse is collecting data from a client who likes metformin for type 2 diabetes, Which of the following medications is contraindicated for this client due its effect on blood glucose levels?

Prednisone

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 new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

Prothrombin time

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?

Regular

A nurse is collecting data from a client who has been taking cyclobenzaprine let the past week. which of the following therapeutic effects should the nurse expect to find?

Relief of muscle spasms

A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?

Triazolam orally at bedtime

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. which of the following instructions should the nurse plan to include? (select all that apply)

[]report the development of a persistent dry cough []Monitor your blood pressure on a regular basis []notify your doctor immediately if you become pregnant

A nurse in a provider's office is reviewing the laboratory results oi four clients who take digoxin. which of the following clients is at risk for developing digoxin toxicity?

a client who take furosemide for hypertension

A nurse administered nitroglycerin sublingually ta a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?

a headache is a common adverse effect of this medication, but will probably occur less often over time

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

acid indigestion

A nurse is preparing to administer a liquid medication t0 a 10-mont-old infant who is crying. which of the following actions should the nurse take to minimum the possibility of aspiration?

administer the medication with a needleless syringe placed in the buccal pouch

A nurse IS reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. which of the following actions should the nurse plan to take?

administer the regular dose of lithium

When checking the medication administration records of four clients. a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which oi the following medications should the nurse administer first?

alendronate

A nurse is collecting data from an older adult client who has been taking digoxin for the past several months For which of the following manifestations of digoxin toxicity should the nurse monitor?

anorexia

A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection and a small amount of purulent drainage visible around the ear. which of the following techniques should the nurse use when instilling the medication?

apply clean gloves and clean the outer ear prior to instilling drops

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. which of the following statements should the nurse make?

apply the ointment in a thin line into the conjunctival sac

A nurse is preparing to use the Z-track technique to administer a medication to a client. which of the following actions should the nurse plan to take?

aspirate 5 to 10 seconds

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include?

avoid driving until the medication effects are evident

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

bleeding

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

bradycardia

A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the (allowing adverse effects should the nurse monitor the client?

bradycardia

A client ho is taking nitrofurantoin for a urinary tract infection voices a concern to me clinic nurse about voiding brown—colored urine. Which of the fallowing is an appropriate response by the nurse?

brown colored urine is a harmless side effect of the medication

A nurse is reinforcing teaching with a client who has a new prescription for aluminum hydroxide to treat heartburn. which of the following adverse effects of the medication should the nurse include in the teaching?

constipation

A nurse is caring for an older adult client who is 5 days postoperative following a total hip arthroplasty and is receiving meperidine for pain while the nurse is taking morning vital signs, the client begins to experience a seizure. which of the following should the nurse recognize as the possible cause for this seizure?

cumulative effect

A nurse on a medical unit is planning to administer a nicotine transdermal patch to a female client Which of the following actions should the nurse plan to include?

date time and initial the patch after before applying to the client

A nurse is reinforcing teaching with a client who has cystic fibrosis and is receiving pancrelipase The nurse should tell the client that which of the following is an effect of this medication?

decrease fat in stool

A nurse is collecting data item a client who self administers pilocarpine ophthalmic drops. which oi the following findings by the nurse indicates a systemic adverse effect of this medication?

diarrhea

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

diazepam can cause drowsiness

A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe Which of the following instructions should the nurse provide?

discard regular insulin if tit appear cloudy

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. which of the following instructions should the nurse give the client?

fold used patch with medication area to the inside and discard in a closed receptacle

A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizides The client should be taught that glipizide works in which of the following ways?

glipizide stimulates the pancreas to release adequate insulin

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot, Which of the following responses should the nurse make?

heparin prevents new clots form forming rather than dissolving established clots

A nurse is caring for a client who has a deep vein thrombosis, who received lv heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin The client asks the nurse if both medications are necessary Which of the following is an appropriate response by the nurse?

heparin will be continued until the warfin reaches a therapeutic level

A nurse is collecting data from a female client who has osteoarthritis and reports she is thinking about taking aspirin for pain control. which of the following data in the client's history should the nurse realize might be a contraindication to taking aspirin and should be reported to the provider?

history of vitamin K deficiency

A nurse is reinforcing teaching far a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. which of the fallowing statements by the client indicates an understanding of the teaching?

i can inject my insulin detemir in the evening before bedtime

A nurse is reinforcing teaching with a client who has increased cholesterol levels and a new prescription for colestipol granules 15 gm po twice daily. The nurse should identify that which of the following statements by the client indicates an understanding of colestipol administration?

i can mix the granules with applesauce and take the mixture with a spoon

A nurse is reinforcing teething with a client who has chronic open angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution . which of the following statements by the client demonstrates an understanding of the teaching?

i should expect to have blurred vision for up to two hours after using this medication

A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed alendronate 70 mg PD weekly. Which of the following statements by the client indicates a need for further instruction?

i take my alendronate at the same day every week with an 8 ounce glass of milk

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticust The client has a prescription for two inhalations from an albuterol metered—dose inhaler. which of the following statements by the client indicates an understanding of the teaching?

i will hold my breath at least 10 seconds after inhaling the medication

A nurse is reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. which of the following statements by the client indicates an understanding of the teaching?

i will plan to come to the clinic for periodic testing of my blood glucose

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. which of the following statements by the parent indicates an understanding a! the administration of nystatin?

i will swab the medication inside my baby's mouth and her tongue

A nurse is preparing to administer enteric coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. which of the following responses should the nurse make?

if I crush it you might experience a stomach ache or indigestion

A nurse is reinforcing teaching for a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include?

if your mouth is dry take a sip of water before putting the tablet under your tongue

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

ill be glad when my seizures stop so I can quit taking this medicine

A nurse is reinforcing teaching far a client who is depressed and has a prescription for fluoxetine 20 mg P0 twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

ill need to report weight loss or gain to my provider while taking this medication

A nurse is reinforcing teaching with a pediatric client and his and family about the purpose of methylphenidate to manage ADHD. The nurse should explain that the purpose of this medication therapy is to do which of the following?

increase focus

A nurse notes that a clients laboratory findings reveal agranulocytosis' The client is taking propylthiouracil m treat hyperthyroidism, The nurse should monitor the client for which of the following?

infection

A nurse is preparing to administer iv vancomycin to a client who has methicillin. Resistant Staphylococcus aureus (MRSA). which of the following actions should the nurse plan to take?

infuse the medication over at least 60 min

A nurse is preparing to administer heparin subcutaneously to a client. which of the following is an appropriate action by the nurse?

inject the medication into the abdomen above the level of the iliac crescent

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?

isosorbide

A nurse is reinforcing teaching with a client who is to start taking enteric coated naproxen (or rheumatoid arthritis. which of the following client statements by the client indicates a need for further teaching?

its okay to crush a tablet as long as I make sure i dissolve completely in water before swallowing

A nurse is reinforcing teaching for the parent of a toddler who has iron deficiency anemia and a new prescription for liquid iron solution. which of the following instructions by the nurse is the priority?

keep the iron solution stored in a locked cupboard

A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin for angina pectoris. which of the following instructions should the nurse include?

leave the patch in place for 24 hrs

A nurse is caring for a client who has a prescription for Clopidogrel. which oi the following actions should the nurse plan to take?

monitor the client for black tarry stool

A nurse is caring for an 8 month old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter. which of the following statements by (he client-s mother indicates that the nurse should check the site for signs of infiltration?

my baby's fingers are looking swollen

A nurse is caring for a postoperative client who is receiving fentanyl. which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?

naloxone

A nurse is caring for an older adult client with a history of stroke who has been prescribed several medications and expresses reluctance to take them because of his difficulty swallowing. which of the following actions is the nurse's priority?

observe the symmetry of the client soft palate and uvula

A nurse is collecting data for a client who has been receiving parenteral morphine in mg every4 hr for the past week due to a serious traumatic injury to the pelvis and lower extremities. The client is awake and alert but states that the morphine no longer seems to he relieving her severe pain, which of the following phenomena should the nurse realize the client is experiencing?

opioid tolerance

A nurse is caring for a client who is taking celecoxib daily. The nurse should identify that a history of which of the following disorders indicates a need for this type of medication?

osteoarthritis

A nurse is collecting data from a client prior to administering nifedipine. For which of the following findings should the nurse contact the provider?

peripheral edema of the ankles

A nurse is preparing to administering intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take?

pinch the skin up at the chosen site with the non dominant hand before inserting the needle

A nurse is collecting data from a client prior to the administration of digoxin, which of the following findings should the nurse report to the provider?

potassium levels of 3.0 meq

The nurse is preparing to administer ear drops m an adult client. which of me following actions should the nurse plan to take?

pull the pinna upward and backward

A nurse is preparing to administer dimenhydrinate to a client. The nurse should explain to the client that the purpose of this medication is to do which of the following?

reduce nausea

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. the client has a new prescription for docusate Po daily. when collecting data from the client. which of the following therapeutic effects of docusate should the nurse expect?

relief form constipation

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?

sedation

A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety, The nurse should observe the client for which of the following adverse effects of this medication?

sedation

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites' The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

serum sodium 5.2

A nurse is caring for a client who has epilepsy and has a new prescription for lamotrigine. For which of the following findings should the nurse instruct the client to withhold the meditation and notify the provider?

skin rash

A nurse is preparing to administer bethanechol to a client who is postoperative. The nurse should explain to the client that which of the following is an expected outcome of the medication?

stumilate voiding

A nurse is reinforcing teaching with a client who has a prescription for simvastatin. which of the following instructions should the nurse provide?

take the med in the evening hours

A nurse is reinforcing teaching with a client who uses a nitroglycerine perch (a treat angina. The client new has is new prescription (or nitroglycerin sublingual tablets. which of the following instructions should the nurse include?

take the medication at the first indication of chest pain

A nurse is reinforcing teaching for a client who has a new prescription for warfarin. which a! the following information should the nurse include?

the client should use an electric razor while on this medication

A nurse is reinforcing reaching for a client who has a duodenal ulcer and a new prescription for sucralfate The client asks the nurse how sucralfate works' Whish of the following statements should the nurse make?

this medication adheres to the ulcer and protect it form gastric acid

A nurse is preparing to administer diphenhydramine to a client who is to receive a blood transfusion. The nurse should explain that the purpose of diphenhydramine is to prevent which of the following manifestations of a transfusion reaction?

urticaria

A nurse is collecting data from a client who is postoperative from a mastectomy and was administered hydromorphone 1 hr ago. The nurse should identify that which of the following findings is an adverse effect of this medication?

vomiting

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. which of the following instructions should the nurse include?

wait up to 3 weeks to see the full effects of the medicaiton

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. which of the following instructions should the nurse give the client?

watch for drowsiness and light headedness while taking alprazolam

A nurse IS collecting data from a client who has a prescription for oral clindamycin hydrochloride. which or the following findings should the nurse immediately report to the provider?

watery diarrhea

A nurse is reinforcing teaching with a client who is prescribed olanzapine. For which of the following adverse effects should the nurse instruct the client to monitor?

weight gain

A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiramt which of the following information is most important for the nurse to obtain before administering this medication?

when the client last drank alcohol

A nurse is reinforcing discharge teaching with a client who has hyperlipidemia and a prescription for niacin, which of the following statements should the nurse include in the teaching?

you might experience flushing of the face after taking this medication.

A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. which of the following instructions should the nurse include?

you will need to continue taking this medication for up to 6 weeks