PHARM CHP 1-4/6-9

The nurse is evaluating the medical records of several clients and note some are receiving both fluoroquinolone and corticosteroid therapy. The nurse concludes which client is at the greatest risk for tendonitis?

72-year-old male

The nurse is preparing to administer a buccal medication to a client. The nurse will instruct the client to place the drug at which location?

Against the cheek mucous membrane

A nurse is assigned to care for a client with a cardiac disorder. During assessment, which action would be most appropriate to do when obtaining objective data related to the client's condition?

Auscultate heart and lung sounds.

A nurse suspects that a client receiving oral penicillin therapy is developing pseudomembranous colitis based on which assessment finding?

Bloody diarrhea

The health care provider has asked a nurse to administer a drug intravenously to an unresponsive client. How can the nurse ensure that the drug is administered to the right client?

By checking the client's wristband

A nurse is caring for client who states "I dislike hospitals because people die in them". What is the major cause of 1 in 10,000 hospital deaths that occur each year in the United States?

Calculating a medication dose

A nurse is preparing to administer lincosamide to a client. The nurse should examine the client's record to ensure which contraindication does not apply in this case?

Clients taking cisapride

After taking penicillin as prescribed, a client shows signs of diarrhea and informs the nurse that there is blood in his stools. Which intervention should the nurse do next?

Contact primary health provider immediately.

A client treated for a respiratory infection is being treated with levofloxacin. The client is complaining of diarrhea, abdominal cramping, and a fever. What is the action of the nurse?

Discontinue the levofloxacin.

A nurse is caring for a client who is receiving a fluoroquinolone as an intravenous infusion. The nurse would check the infusion rate at which frequency?

Every 15 minutes

A client develops a severe case of pseudomembranous colitis secondary to fluoroquinolone therapy. The fluoroquinolone is stopped immediately and intravenous fluids and protein supplementation are started. The nurse would also expect to administer which new medication?

Fidaxomicin

A nurse is reading a journal article about seasonal allergies and comes across the name of the drug loratadine. The nurse determines this drug name as which type?

Generic

After teaching a group of nursing students about nursing diagnoses, the instructor determines that the teaching was successful when the students correctly point out which item as the most useful related to the nursing diagnoses developed by the North American Nursing Diagnosis Association-International (NANDA-I)?

Identifying client problems related to drug therapy

A 60-year-old client with impaired urinary elimination is prescribed sulfonamide and instructed to increase daily fluid intake. Which nursing intervention would be most appropriate to address the fear of incontinence?

Increase fluid intake by 1000 mL instead of 2000 mL to avoid incontinence.

The nurse is administering fluoroquinolone and ibuprofen to a client. The nurse should be alert for which potential adverse reaction?

Increased risk for seizures

A nurse is caring for a client who is receiving penicillin. The nurse would assess for which common adverse reaction?

Inflammation of the tongue and mouth

A nurse needs to administer a cephalosporin to a client. The client informs the nurse that he is allergic to penicillin. Which action by the nurse would be most appropriate?

Inform the primary health care provider.

A nurse is administering ciprofloxacin IV. What should the nurse assess prior to administering the medication?

Inspect the needle site for signs of tenderness, pain, and redness.

The nurse is providing care to a client who is receiving an aminoglycoside and cephalosporin. Which assessment is a priority of care?

Nephrotoxicity

The nurse is preparing to administer sulfadiazine to a client who is also taking warfarin. The nurse would be alert for which potential adverse effect?

Prolonged clotting times

The nurse is unable to read the health care provider's handwriting for a new drug order. Which action by the nurse would be most appropriate in this situation?

Question the order with the primary health care provider

A client undergoing penicillin therapy shows improvement and states that he is feeling better. Which intervention is the nurse most likely to perform in such a situation?

Record assessments on client's chart.

A nurse is providing care to a client who has been admitted to the health care facility. When administering drugs to this client, what would be most important for the nurse to do before administering a drug to the client?

Review the subjective and objective data.

A client is receiving iron therapy for anemia. The health care provider has ordered tetracycline for an infection. Which action would be most appropriate for the nurse to do?

Separate administration times by 2 hours.

A client, receiving linezolid, is fond of eating chocolates and drinking coffee. When teaching the client about this drug which adverse effect should the nurse point out presents the greatest risk to this client?

Severe hypertension

A nurse concludes a nursing diagnosis of Noncompliance is appropriate for a client. Which factor would be most important for the nurse to determine?

What was the exact reason for stopping the drug

A 75-year-old client with a history of renal impairment is admitted with a UTI and has been prescribed a cephalosporin. Which intervention is most important for the nurse to perform when caring for this client?

Monitoring blood creatinine levels

A client is refusing to take a prescribed medication due to unfamiliarity of the name. What is the nurse's best response?

"Do you remember the name of the pill you were taking?"

The nurse is teaching a client about a newly prescribed medication which is an enteric-coated tablet. Which statement by the nurse best explains this form of medication?

"The drug dissolves into fragments after it reaches your small intestine."

A client is scheduled for abdominal surgery and is ordered to receive kanamycin. The client asks the nurse why he is getting this drug. Which response by the nurse would be most appropriate?

"The drug helps eliminate bacteria so that your GI tract is as clean as possible for surgery."

As the nurse administers a drug to the client, the client says, "This doesn't look like my usual pill." Which response by the nurse would be most appropriate?

"Let me double-check with your doctor and the order.

A client asks the nurse why he/she needs to increase fluid intake while taking sulfonamides. Which response by the nurse would be most appropriate?

"The fluids will help to decrease your risk for kidney stones.

A client is prescribed 500 mg of ampicillin IM. The drug is supplied in a multidose vial that requires reconstitution with 2 mL sterile water for injection. The resulting concentration contains 250 mg/mL. The nurse would administer how much of the drug?

0.5 mL

The health care provider orders chlorpromazine 25 mg IM. The drug is supplied as chlorpromazine 50 mg/mL in a 1-mL ampule. How much would the nurse administer?

0.5 mL

A home health care nurse is assessing a client's medication during a home visit. The client is prescribed atorvastatin 10 mg daily, a change from the previous order of 20 mg daily. The client shows the nurse the medication container from the pharmacy. The label reads atorvastatin 20 mg. The nurse determines that the client is taking the correct dosage when the client states he is taking how much of the drug?

1/2 tablet every day

A healthcare provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate?

Apply next dose to a new site.

A client who receives statin therapy for elevated lipid levels is to begin receiving daptomycin. Which laboratory value should the nurse prioritize?

Creatine phosphokinase levels

After teaching a group of students about the basics of pharmacology, the students will be able to choose which aspect as the most critical to remember?

Drug action

The nurse is monitoring a client with heart failure for effectiveness of the digoxin therapy. Which factor should the nurse closely monitor for potential signs of toxicity?

Drug blood level

A nursing instructor is explaining the importance of preventing errors in medication administration and doses. What would the instructor emphasize as the best method for detecting errors?

Having each person involved in the process check the dosage

The nurse is preparing to teach a client about a new drug which is the in the fourth phase of development. Which activity will the nurse explain as best illustrates this phase?

Health care providers report adverse effects to FDA.

A nursing instructor determines a class on drug development is successful when the students correctly choose which test group as involved in the initial process?

Live animals

A client arrives at the health care clinic and reports that he has been taking several pills for a headache and severe cough without relief. Which adverse effect should the nurse be aware may develop from this combination?

Liver Damage

A nurse is caring for a client diagnosed with a respiratory condition for which drug therapy has been prescribed. What would the nurse need to address when developing appropriate expected outcomes related to the drug therapy?

Maximum level of wellness reasonably attainable for the client

A nurse is preparing to teach a client about fluoroquinolones. The nurse will explain the importance of taking which drug on an empty stomach?

Norfloxacin

A middle-aged client is to receive tetracycline for treatment of H. pylori infection, as well as continue with digoxin for a history of heart disease. The nurse will be prepared to monitor the client for which potential condition?

Risk of digoxin toxicity

A client is ordered to receive subcutaneous heparin twice a day. When administering this drug which would be most important for the nurse to do to minimize tissue damage?

Rotate the injection site regularly

A nurse is required to administer a parenteral form of penicillin to a client. Which intervention would be most appropriate for the nurse to do when preparing penicillin in parenteral form?

Shake the vial well to distribute the drug evenly.

After administering sulfonamides to a client, the nurse observes the client has developed a fever, cough, and muscular aches, as well as lesions in the form of red wheals on the neck and the mouth. The nurse interprets these findings as indicating which possible adverse reaction?

Stevens Johnson syndrome (SJS)

A nurse is caring for a client who is being administered sulfasalazine. Which instruction should the nurse include to ensure that the client gets the full benefits of the treatment?

Take dosage while eating immediately after eating