Exam 2 - 3110 FINAL

A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of MS. Which of the following information should the nurse include? "Have kidney function tests done every month for a year." "Take an extra dose if muscle aches occur." "Store the drug at room temperature after mixing it." "Administer the drug in your thigh or upper arm."

"Administer the drug in your thigh or upper arm."

A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? "Avoid taking nonsteroidal anti-inflammatory drugs." "Rinse your mouth after taking the medication to prevent a yeast infection." "Stop taking the medication if you become nauseous." "Change position slowly when standing up."

"Avoid taking nonsteroidal anti-inflammatory drugs."

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? "It is not a big deal if I forget my pills for a couple of days." "I should limit alcohol intake to one drink daily while taking this medication." "I will avoid salt because this medication can increase my blood pressure." "If I become pregnant, it is important to let my health care provider know."

"If I become pregnant, it is important to let my health care provider know."

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? "Weigh yourself twice a month." "If you have persistent headaches, let the provider know." "Reduce your daily sodium intake." "If your symptoms don't improve in 10 days, you will need a higher dosage."

"If you have persistent headaches, let the provider know."

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug? "Premedicate with acetaminophen." "Take the drug with food." "Increase your fluid intake." "Take the drug in the morning."

"Premedicate with acetaminophen."

A nurse is providing teaching to a client who has a prescription for busprione to treat anxiety. Which of the following instructions should the nurse include? "Take a missed dose as soon as you remember." "Take the drug as needed at the first sign of anxious feelings." "Take the drug in the morning with a glass of grapefruit juice." "Drink a cup of chamomile tea at night with the drug."

"Take a missed dose as soon as you remember."

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply) A. Avoid driving and activities that require alertness B. Increase fluid intake C. take the drug with food D. Stay close to a bathroom after taking the drug E. Increase weight-bearing activities

A. Avoid driving and activities that require alertness B. Increase fluid intake D. Stay close to a bathroom after taking the drug

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? A. Change positions slowly B. Crush the medication C. Take the medication on an empty stomach D. Report increased urinary output immediately

A. Change positions slowly

A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40wks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (Select all that apply.) A. Encourage the client to urinate prior to insertion B. Remove the pouch when active labor begins C. Monitor for uterine hyperstimulation D. Encourage the client to walk after insertion E. Monitor the clients temperature

A. Encourage the client to urinate prior to insertion B. Remove the pouch when active labor begins C. Monitor for uterine hyperstimulation E. Monitor the clients temperature

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of thich of the following? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis

A. Hyperkalemia

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? Ipratropium Beclomethasone Acetylcysteine Azelastine

Acetylcysteine

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? Cholinergic crisis Serotonin syndrome Stevens-Johnson syndrome Acute dystonia

Acute dystonia

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? Albuterol will increase the absorption of fluticasone. Albuterol will decrease inflammation. Albuterol will reduce nasal secretions. Fluticasone will reduce the adverse effects of albuterol.

Albuterol will increase the absorption of fluticasone.

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? Take the drug with grapefruit juice to increase absorption. Use the drug as needed for anxiety. Allow 2 to 4 weeks for full therapeutic effects. Take the drug on an empty stomach.

Allow 2 to 4 weeks

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? Start at a low dose and gradually increase it. Take the drug as needed for nasal congestion. Allow at least 2 weeks for the full therapeutic effect. Use the drug prior to exercise.

Allow at least 2 weeks for the full therapeutic effect.

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? Asthma Seizure disorder Diabetes mellitus Rheumatoid arthritis

Asthma

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? A. Sildenafil B. Bethanechol C. Tamsulosin D. Finasteride

B. Bethanechol

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? (select all that apply) A.Apply the gel to the scrotum B. Cover the area of application w/ clothing C. wash your hands after applying the gel D. Do not shower for sever hours after applying the gel E. apply the gel to the gums above an upper incisor

B. Cover the area of application w/ clothing C. wash your hands after applying the gel D. Do not shower for sever hours after applying the gel

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? (Select all that apply) A. Diaphoresis B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? A. Drinks a glass of wine each night B. Smokes half a pack of cigarettes a day C. Runs marathons regularly D. Drives a school bus

B. Smokes half a pack of cigarettes a day

A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? Begin taking the drug at a low dosage. Discontinue the drug immediately if diarrhea occurs. Have serum glucose levels checked regularly. Take the drug on an empty stomach.

Begin taking the drug at a low dosage.

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? Constricted pupils Discoloration of the iris Hypertension Bradycardia

Bradycardia

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? A. Prolactin secretion B. Estrogen release C. Follicular maturation. D. Oxytocin secretion

C. Follicular maturation

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? A. Monitor for rectal bleeding B. Avoid drinking alcoholic beverages C. Have blood pressure checked regularly D. sit up for 30min after taking the drug

C. Have blood pressure checked regularly

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects? Chest pain Polyuria Joint pain Insomnia

Chest pain

A nurse should recognize that using pseudoeephdrine to treat allergic rhinitis requires cautious use with clients who have. which of the following conditions? Peptic ulcer disease A seizure disorder Anemia Coronary artery disease

Coronary artery disease

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests requires monitoring? C-reactive protein Creatinine clearance Thyroid function CBC

Creatinine clearance

A nurse should questions the use of conjugated equine estrogen by a client who has a history of which of the following? A. Osteoporosis B. Peptic ulcer disease C. Rheumatoid arthritis D. Blood Clots

D. Blood Clots

After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? A. Peripheral pulses B. Temperature C. Vision D. Heart Rate

D. Heart Rate

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching? A. I should have pancreatic function tests obtained while taking this drug B. I should have my white blood cell count checked annually C. I should take off the patch to shower D. I should apply the medication to a different site each time

D. I should apply the medication to a different site each time

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Potassium B. Glucose C. BUN and creatinine D. Prolactin Level

D. Prolactin level

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? A. increase the rifampin dose B. increase the oral contraceptive dose C. wait 2hrs between taking each drug D. use additional birth control methods

D. use additional birth control methods

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks? Respiratory depression Drug abuse Drug tolerance Rebound congestion

Drug abuse

A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug? Tinnitus Twitching eyelids Blue-green skin discoloration Fatigue

Fatigue

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? Furosemide for hypertension Acetaminophen for headaches Ciprofloxacin for a urinary tract infection Montelukast for asthma

Furosemide for hypertension

For which of the following reasons should a nurse instruct a client to avoid guaifenesin with combination over the counter products? Over-the-counter cold products can also contain guaifenesin. Blood glucose levels are increased. Rebound congestion is likely. Drug tolerance is likely.

Over-the-counter cold products can also contain guaifenesin.

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? Fever Bruising Polyuria Palpitations

Palpitations

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? Reduced antitussive effect of dextromethorphan Potentiation of depression of CNS actions Increased renal reabsorption of the dextromethorphan Delayed analgesic effect of the opioid

Potentiation of depression of CNS actions

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include (Select all) Restlessness Bradycardia Insomnia Muscle pain Anxiety

Restlessness Insomnia Anxiety

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following conditions? (Select all) Motion sickness Seasonal affective disorder Insomnia Nicotine addiction Depression

Seasonal affective disorder Nicotine addiction Depression

A nurse is caring for a client who his about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? Select all Tremors Confusion Bronchospasm Nausea Muscle weakness

Tremors Confusion Nausea Muscle weakness

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects. Select all Muscle tremors Urinary retention Dry mouth Insomnia Tachycardia

Urinary retention Dry mouth

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? Anterograde amnesia Respiratory depression Paradoxical reaction Withdrawal symptoms

Withdrawal symptoms

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that. which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? Alprazolam Phenytoin ​Phenelzine Pilocarpine

​Phenelzine

A nurse is providing teaching to a clent about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? A. Perform weight-bearing activities B. Wear sunscreen or protective clothing C. Take the drug with food to increase absorption D. Avoid drinking grapefruit

A. Perform weight-bearing activities

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Prostate-specific antigen (PSA) B. BUN C. Creatine Phosphkinase (CPK) D. ALT

A. Prostate-specific antigen (PSA)

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse shoudl explain to the client that this drug combination includes which of the following therapeutic effects? (Select all that apply.) A. Reduces the risk of ovarian cancer B. Relieves hot flashes C. Prevents osteoporosis D. Reduces the risk of breast cancer E. Reduces the risk of thromboembolism

A. Reduces the risk of ovarian cancer B. Relieves hot flashes C. Prevents osteoporosis

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? A. Vaginal dryness B. Hypertension C. Blurred vision D. Orthostatic hypotension

A. Vaginal dryness

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam? Anxiety Ringing in the ears Increased appetite Muscle spasms

Anxiety

A nurse is providing teaching to a client about instilling pilocarpine for managing open angle glaucoma. Which of the following instructions should the nurse include in the teaching? Select all Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops. Do not touch the tip of the dropper. Wash hands after instilling the drops. Rub eyes gently after instilling the drops. Remove contact lenses prior to instilling the drops.

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops. Do not touch the tip of the dropper. Remove contact lenses prior to instilling the drops.

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include? Avoid driving until the drug's effects are evident. Stop taking the drug immediately if headache occurs. Take the drug as needed for spasticity. Take the drug with antacids to reduce gastric effects.

Avoid driving until the drug's effects are evident.

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk of toxicity. Which of the following should the nurse include? Consume a low-sodium diet. Reduce fluid intake. Avoid taking NSAIDs. Take the drug with food.

Avoid taking NSAIDs.

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include? Increase fluid intake to improve renal excretion. Report memory loss or confusion. Watch for signs of liver impairment, such as jaundice and abdominal pain. Avoid taking over-the-counter antacids.

Avoid taking over-the-counter antacids.

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following info should the nurse include? Monitor for constipation. The dosage will be increased weekly to provide optimum therapeutic effect. Administering the drug first thing in the morning promotes effectiveness. Avoid the use of NSAIDs for pain.

Avoid the use of NSAIDs for pain.

A nurse is providing teaching to a client about sildenafil to treat erectile dysfuntion. Which of the following instructions should the nurse include? A. Take the drug with a glass of grapefruit juice B. Do not take the drug with high-fat foods C. Increase intake of foods rich in vitamin k D. avoid aged cheeses and red wine

B. Do not take the drug with high-fat foods

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. A seizure disorder for which he takes carbamazepine B. Erectile dysfuntion for which he take sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he take pilocarpine

B. Erectile dysfuntion for which he take sildenafil

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following lab values should the nurse monitor during and immediately after IV administration of the drug? Cardiac output Blood pressure Urine specific gravity Oxygen saturation

Blood pressure

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects? A. Breast cancer B. Deep-vein thrombosis C. Ovarian hyperstimulation syndrome D. Restless leg syndrome

C. Ovarian hyperstimulation syndrome

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? A. Take a pregnancy test B. Double up on pills for remainder of the pack C. Take the missed dose as soon as possible D Stop the oral contraceptive and use a different contraceptive

C. Take the missed dose as soon as possible

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indication of a serious adverse reaction? A. Hot flashses B. urinary tract infection C. Vaginal bleeding D. Bone pain

C. Vaginal bleeding

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? A. Refrain from crushing the tablet B. Withhold the medication if the client doesnt eat C. Wear gloves when handling the tablet D. Monitor heart rate prior to administration

C. Wear gloves when handling the tablet

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse include? Change position slowly to prevent orthostatic hypotension. Eat a high-protein snack to increase absorption. Take the drug at bedtime to avoid daytime drowsiness. Expect eye twitching to develop with long-term therapy.

Change position slowly to prevent orthostatic hypotension.

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? Select all. Change positions slowly from sitting or lying to standing. Do not stop taking the drug abruptly. Wear sunscreen and protective clothing. Take the drug at bedtime to prevent daytime drowsiness. Increase fiber and fluid intake.

Change positions slowly from sitting or lying to standing. Do not stop taking the drug abruptly. Take the drug at bedtime to prevent daytime drowsiness. Increase fiber and fluid intake.

A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the clients medical history indicated a need to withhold the drug and notify the provider? Pancreatic cancer Hypotension Cirrhosis Osteoporosis

Cirrhosis

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? Thins mucus Relaxes bronchial smooth muscle Decreases inflammation Increases the cough threshold

Decreases inflammation

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects? Slow heart rate Cough Diarrhea Hearing loss

Diarrhea

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? Muscle tremors Drowsiness Excitation Insomnia

Drowsiness

A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects. (Select all that apply) Hirsutism Drowsiness Headache Ataxia Rash

Drowsiness Headache Rash

A nurse is caring for a client who has a prescription for fluoxetine and who reports self administering St Johns wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? Hallucinations Decreased temperature Hypersexual behavior Constipation

Hallucinations

The nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? Check apical pulse before taking the drug. Take the drug only as needed before exercising. Rinse mouth after using the drug. Have laboratory tests performed at regular intervals.

Have laboratory tests performed at regular intervals.

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? Headache Sleepiness Hypotension Constipation

Headache

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine enriched foods because of an increased risk for which of the following adverse effects? Respiratory depression Hypertensive crisis Neuroleptic malignant syndrome Serotonin syndrome

Hypertensive crisis

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? Venlafaxine Bupropion Imipramine Valproic acid

Imipramine

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? Take the drug as needed for acute asthma. Follow a low-sodium diet. Use an alternate-day dosing schedule. Increase weight-bearing activity.

Increase weight-bearing activity.

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. The nurse should identify that the drug has which of the following pharmacological effects? Increases available acetylcholine in the brain Inhibits norepinephrine metabolism in the brain Inhibits serotonin metabolism in the brain ​Increases available dopamine in the brain

Increases available dopamine in the brain

A nurse is providing teaching for a client who has a new prescription for valproic acid to treat seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects? Hirsutism Depression Jaundice Gum irritation

Jaundice

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following lab tests requires monitoring?

Liver function

A nurse is caring for a client who has been taking selegilline to treat Parkinson's. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegilline and meperidine can result in which of the following? Frequent urination Jaundice Cellulitis Muscle rigidity

Muscle rigidity

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl? Neostigmine Succinylcholine Naloxone Dantrolene

Naloxone

A nurse is caring for a client taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor? Confusion Dry mouth Nausea Double vision

Nausea

The nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of an interaction between these drugs? Hyperammonemia Phenytoin toxicity Hypertension Peptic ulcer disease

Phenytoin toxicity

A nurse is preparing to administer sumatriptan for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions? Tonic-clonic seizures Presence of a migraine headache Exacerbation of multiple sclerosis Alzheimer's disease

Presence of a migraine headache

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? Decrease viscosity of nasal secretions Block H2 receptors Prevent histamine from binding to receptors Reduce nasal congestion

Prevent histamine from binding to receptors

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation Reduces inflammation

Reduces inflammation

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? Suppresses the cough stimulus Reduces surface tension Reduces inflammation Dries mucous membranes

Reduces surface tension

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? Renal function impairment Cataracts Recent weight loss Smoking

Renal function impairment

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? Blood pressure Apical heart rate Respirations Level of consciousness

Respirations

A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects? Cardiac excitability Respiratory depression Hyperthermia Hypertension

Respiratory depression

A nurse is caring for a client who was admitted to the ED with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk? Ischemic stroke Drowsiness Respiratory depression Seizure activity

Seizure activity

A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the clients drug level indicates toxicity? Seizures Constipation Normal sinus rhythm Somnolence

Seizures

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects? Hypotension Tinnitus Tachycardia Bronchospasm

Tachycardia

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include? Take the drug in the morning. Take the drug 30 min before bedtime. Anticipate daytime drowsiness. Expect urinary frequency.

Take the drug in the morning.

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? Use a spacer to improve inhalation. Take the drug at the onset of bronchospasm. Rinse mouth to prevent an oral fungal infection. Take the drug once a day in the evening.

Take the drug once a day in the evening.

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? Suppresses the cough stimulus Reduces inflammation Thins and loosens mucus Dries secretions

Thins and loosens mucus

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? Chest x-ray Tonometry ​ Thyroid function tests Endoscopic retrograde cholangiopancreatography (ERCP)

Thyroid function tests

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all) Tolerance Anxiety Sedation Respiratory depression Constipation

Tolerance Anxiety Sedation Respiratory depression

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? Do not drink anything for 30 min after using the drug. Wait 5 min between using the drug and another inhaled drug. This drug is used to thin respiratory secretions. Check pulse rate after inhaling the drug.

Wait 5 min between using the drug and another inhaled drug.

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? Stop taking the drug immediately with the first sign of a sore throat. Wear sunscreen when exposed to sunlight. Take the drug with food to reduce gastrointestinal distress. Take the drug in the morning to prevent nocturia.

Wear sunscreen when exposed to sunlight.

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder for two weeks. The nurse should report which of the following findings to the provider? Weight loss of 2.3 kg (5 lb) BP 110/70 mm Hg Apical pulse 80/min Respiratory rate 16/min

Weight loss of 2.3 kg (5 lb)

For which of the following reasons should a client attach a spacer to a metered dose inhaler? ​To increase the amount of drug delivered to the lungs To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation To increase the speed of drug delivery into the mouth

​To increase the amount of drug delivered to the lungs