Pharm Exam 1
a nurse is caring for a client who has a prescription for etanecept. the nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions? A. Inactivation of tumor necrosis factor B. Inhibition of osteoclast activity C. Decreasing the reuptake of serotonin D. Interference with the production of lymphocytes
A
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? A. Adverse effect B. Paradoxical effect C. Therapeutic effect D. Toxicity
A
A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increase bone mass by which of the following actions? A. Decreases activity of osteoclasts B. Increase calcium excretion C. Promotes intestinal absorption of calcium and phosphorus D. Reduces action of osteoblasts
A
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? A. Therapeutic effect B. Adverse reaction C. Contraindication D. Precaution
A
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? A. Pharmacologic action B. Chemical stability C. Route D. Adverse effects
A
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects? A. Bone marrow depression B. thrombocythemia C. Double vision D. constipation
A
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? A. They have similar mechanisms of actions. B. They have the same half-life. C. They are administered by the same route. D. They have similar availability.
A
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? A. "This will increase the effects of normal cellular functions." B. "This prevents cells in your body from performing certain actions." C."This prevents hormones in your body from attaching to cell receptor sites." D. "This minimizes the risk that the medications you take will become toxic."
A
A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. the nurse should instruct the client to monitor which of the following indications of an adverse reaction to this drug? A. Skin rash B. Tinnitus C. Diarrhea D. Dysphagia
A
When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? A. It begins with a lower-case letter. B. It is listed in parentheses along with the trade name. C. There are both letters and numbers in the name. D. The chemical name is listed in parentheses before the generic name.
A
a nurse is caring for a client who has a new prescription for etanercept. which of the following actions should the nurse take? A. Administer a tuberculin skin test prior to starting the medication. B. Teach the client that fevers are common while taking this medication. C. Determine if the client has chronic hypertension. D. Mix the medication with methotrexate prior to administration
A
a nurse is teaching a client about adverse effects of etanercept. which of the following statements by the client indicates understanding of the teaching? A. "I will need to get my blood drawn periodically while on this medication." B. "I may lose part or all of my hair." C. "I may wake up with a very dry mouth." D. "I will leave the needle cap off during the time the medication comes to room temperature."
A
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching? A. "I will take a birth control pill every day." B. "Methotrexate decreases my chances of developing an infection." C. "I take methotrexate every day with breakfast." D. "I will aim to drink five 8-ounce glasses of water per day."
A
A nurse is obtaining a client's health history and discovers that the client take loratadine, an over-the-counter drug. The should identify that which of the following is correct regarding over-the-counter drugs? (Select all that apply) A. They do not require the supervision of a nurse. B. They can interact with other drugs. C. They should be included in the client's drug history assessment. D. They are less effective than prescription drugs. E. They do not cause toxicity.
A, B, C
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.) A. The newborn's weight B. How much breast milk the newborn consumes each day C. Whether or not the benefits to the client outweigh the risks to the newborn D. The properties of the drug E. The route of administration of the drug
A, B, C, D
A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (Select all that apply.) A. Fever B. Tinnitus C. Diaphoresis D. Thrombophlebitis E. Dizziness
A, B, C, E
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) A. Impaired cognitive level B. Language barrier C. Discomfort D. Repetition of teaching E. Unreadiness to learn
A, B, C, E
A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply.) A. Increased respiratory rate B. Increased pain C. Thrombophlebitis D. Ventricular arrhythmias E. Hypertension
A, B, D, E
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following information should the nurse include? (Select all that apply) A. Avoid being near people who are sick with a communicable illness. B. Periodic laboratory tests are required. C. The drug's effects are immediate. D. Report bruising or petechiae. E. Avoid drinking alcohol.
A, B, D, E
A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (select all that apply) A. Low blood pressure B. Wheezing C. Bradycardia D. Peripheral edema E. Difficulty swallowing
A, B, E
A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (Select all that apply.) A. To reduce fever B. To decrease inflammation C. To relieve mild pain D. To promote sedation E. To alleviate anxiety
A, C
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include? (select all that apply) A. Report rash or itching B. deliver two sprays to each nostril C. Prime the pump before the first dose D. Report nasal irritation E. Hold the pump horizontally
A, C, D
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (Select all that apply.) A. Restlessness B. Bradycardia C. Insomnia D. Muscle pain E. Anxiety
A, C, E
a nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (select all that apply) A. Jaw Pain B. Drowsiness C. Blurred vision D. Tinnitus E. Muscle Pain
A, C, E
A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply.) A. Diaphoresis B. Palpations C. Shortness of breath D. Nausea E. Diarrhea
A, D, E
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 addictive effect. The nurse should identify that which of the following are characteristics of addictive drug interaction. (select all that apply) A. Clients can achieve desired effects with the use of lower dosages. B. Taking the two drugs together can reduce the effects of one or both drugs. C. Taking the two drugs together can potentiate the effects of one or both drugs. D. The two drugs can produce an action neither would have produced alone. E. Both drugs have similar actions.
A, E
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) A. Periodic laboratory tests are essential to measure serum drug levels. B. Monitoring for indications of toxicity is important. C. Taking the drug with an inducing agent will increase the possibility of toxicity. D. Taking the smallest effective dose is crucial. E. Increasing fluid intake is recommended to avoid toxicity.
A,B,D
A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include? A. "Avoid taking nonsteroidal anti-inflammatory drugs." B. "Rinse your mouth after taking the medication to prevent a yeast infection." C. "Stop taking the medication if you become nauseous." D. "Change position slowly when standing up."
A. "Avoid taking nonsteroidal anti-inflammatory drugs."
A nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interacts with allopurinol? A. Warfarin B. Ibuprofen C. Insulin D. Furosemide
A. Warfarin
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? A. Suppresses the cough stimulus B. Reduces inflammation C. Thins and loosens mucus D. Dries secretions
C. Thins and loosens mucus
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone 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? A. Albuterol will increase the absorption of flucticasone B. Albuterol will decrease inflammation C. Albuterol will reduce nasal secretions D. Fluticasone will reduce the adverse effects of Albuterol
A. Albuterol will increase the absorption of flucticasone
A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? A. Avoid driving or activities that require mental alertness B. Avoid crushing the tablets C. Limit fluid intake during therapy D. Limit potassium while taking allopurinol
A. Avoid driving or activities that require mental alertness.
A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? A. Eat a small meal before taking the drug B. Suck on hard candy or chew gum C. Take a stool softener daily D. Avoid the use of NSAIDs
A. Eat a small meal before taking the drug
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that that which of the following manifestations is an adverse effect of this drug? A. Headache B. Sleepiness C. Hypotension D. Constipation
A. Headache
A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include? A. Monitor the client's blood glucose B. Administer an antacid 30 min prior to prednisone C. Administer aspirin rather than NSAIDs if the client has pain D. Monitor the client for hyperkalemia
A. Monitor the client's blood glucose
For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products? A. Over-the-counter cold products can also contain guaifenesin B. Blood glucose C. Rebound congestion is likely D. Drug tolerance is likely
A. Over-the-counter cold products can also contain guaifenesin
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 client's drug level indicates toxicity? A. Seizures B. Constipation C. Normal Sinus rhythm D. Somnolence
A. Seizures
For which of the following reasons should a client attach a spacer to a metered-dose inhaler? A. To increase the amount of drug delivered to the lungs B. To increase the amount of drug delivered to the oropharynx C. To increase the amount of drug delivered on exhalation D. To increase the speed of drug delivery into the mouth
A. To increase the amount of drug delivered to the lungs
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? A. Adverse effects B. Indications C. Pharmacokinetics D. Nursing implications
B
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 of the client can receive the drug? A. Adverse effects B. Contraindications C. Implementation D. Black box warning
B
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? A. To determine drug-food interactions B. To determine if dosage modification is indicated C. To determine how the drug is absorbed D. To determine availability
B
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? A. Contraindications B. Precautions C. Paradoxical effects D. Adverse effects
B
A nurse is teaching a client who has a new prescription for etancercept. which of the following statements should the nurse make? A. "You will inject this medication once a week in your thigh muscle." B. "You should report signs of infection to your provider immediately." C. "You will need to avoid taking ibuprofen while on this medication." D. "You will need to receive a MMR vaccine 1 month after starting this medication."
B
a nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. the nurse should identify that which of the following is an adverse effect of this medication? A. Hypertension B. Thrombocytopenia C. Glaucoma D. Edema
B
a nurse should identify that. a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects? A. Kidney toxicity B. Infection C. Gout D. Deep-vein thrombosis
B
which of the following is a therapeutic action of raloxifene? A. Blocks the effects of estrogen on endometrial tissue B. Mimics the effects of estrogen on bone tissue C. Stimulates secretion of parathyroid hormone D. Stimulates menstruation
B
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (Select all that apply.) A. Muscle tremors B. Urinary retention C. Dry mouth D. Insomnia E. Tachycardia
B, C
A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply.) A. Diarrhea B. Urinary retention C. Respiratory depression D. Sedation E. Orthostatic hypotension
B, C, D, E
A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (Select all that apply.) A. Palpations B. Sore throat C. Vertigo D. Bruising E. Vision Changes
B, C, D, E
A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (Select all that apply.) A. Reduce the dose during periods of stress B. Discontinue the drug gradually C. Report illness or infection D. Increase intake of calcium and vitamin D E. Monitor for signs of gastric bleeding
B, C, D, E
A nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. which of the following information should the nurse include? (Select all that apply) A. Take the calcium tablets with food. B. Drink 240 mL (8 oz) of water with the calcium tablets. C. Chew calcium tablets before swallowing them. D. Take the drugs 1 hr apart. E. Divide the daily dosage of calcium into three 500-mg doses.
B, C, D, E
A nurse is teaching a client about raloxifene. which of the following information should the nurse include? (Select all that apply) A. Perform a breast self-examination twice per month. B. Increase physical activity by taking walks. C. Use a contraceptive if there is any possibility of pregnancy. D. Take the drug on an empty stomach. E. Increase intake of calcium and vitamin D.
B, C, E
A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply) A. Infection B. Nausea C. Tachycardia D. Dizziness E. Headache
B, D, E
A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (Select all that apply.) A. Bronchospasm B. Vomiting C. Peripheral edema D. Abdominal cramps E. Hypertension
B, D, E
A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions? A. Tinnitus B. Chest pain C. Constipation D. Diaphoresis
B. Chest pain
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? A. Muscle tremor B. Drowsiness C. Excitation D. Insomnia
B. Drowsiness
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks? A. Respiratory depression B. Drug abuse C. Drug tolerance D. Rebound congestion
B. Drug abuse
A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome? A. Muscle pain B. Fever C. Anxiety D. Temors
B. Fever
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? A. Reduces antitussive effect of dextromethrophan B. Potentiation of depression of CNS actions C. Increased renal reabsorption of the dextromethorphan D. Delayed analgesic effect of the opioid
B. Potentiation of depression of CNS actions
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? A. Suppresses the cough stimulus B. Reduces surface tension C. Reduces inflammation D. Dries mucous membranes
B. Reduces surface tension
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? A. Do not drink anything for 30 min after using the drug B. Wait 5 min between using the drug and another inhaled drug C. This drug is used to thin respiratory secretions D. Check pulse rate after inhaling the drug
B. Wait 5 min between using the drug and another inhaled drug
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? A. Tolerance to the drug B. Drug interaction C. Drug toxicity D. Dependence on the drug
C
A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage? A. Liquid suspension B. Immediate-release capsule C. Extended-release tablet D. Powder form
C
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 higher than the IV dose for which of the following reasons? A. The IV form crosses the blood-brain barrier. B. The oral form has a decreased half-life. C. The oral form has decreased bioavailability because of the first-pass effect. D. The oral form has an increased rate of excretion.
C
A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time? A. Check the client's urine for sedimentation. B. Assess the client's liver function. C. Use skin testing to check the client for allergies. D. Evaluate the client's breath sounds.
C
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? A. "Itching is an expected adverse effect of amoxicillin." B. "Itching can indicate amoxicillin toxicity." C. "Itching can indicate a hypersensitivity to amoxicillin." D. "Itching can result from dry skin, which is often caused by amoxicillin."
C
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? A. Loss of hair B. Numbness of the fingertip C. Calf pain D. Blisters on mucous membranes
C
A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. which of the following statements should the nurse make? A. "Use a nonsteroidal anti-inflammatory drug to reduce toxicity." B. "If you miss a dose, go ahead and take it with the next scheduled dose." C. "Drink a minimum of 2 liters of water per day to promote the drug's excretion." D. "Take it in the morning to prevent insomnia."
C
Alendronate is contraindicated for administration to clients who have which of the following conditions? A. Heart failure B. Fish protein allergy C. Inability to sit upright D. Tuberculosis
C
a nurse is teaching a client about methotrexate. the nurse should inform the client to monitor for which of the following as an adverse effect of this drug? A. Muscle pain B. Peripheral edema C. Black, tarry stools D. Redness in the calf
C
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? A. Iprartropium B. Beclomethasone C. Acetylcysteine D. Azelastine
C. Acetylcysteine
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? A. Start at a low dose and gradually increase it B. Take the drug as needed for nasal congestion C. Allow at least 2 weeks for the full therapeutic effect D. Use the drug prior to exercise
C. Allow at least 2 weeks for the full therapeutic effect
A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? A. Pulmonary embolism B. Hepatitis C. Bone loss D. Breast cancer
C. Bone loss
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? A. Thins mucus B. Relaxes bronchial smooth muscle C. Decreases inflammation D. Increases the cough threshold
C. Decreases inflammation
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? A. Blood pressure B. Apical heart rate C. Respirations D. Level of consciousness
C. Respirations
A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contradiction to celecoxib? A. Rheumatoid Arthritis B. Ankylosis spondylitis C. Sulfonamide allergy D. Adrenocortical insufficiency
C. Sulfonamide allergy
A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? A. Polyuria B. Bone pain C. Weight gain D. Infection
C. Weight gain
A nurse is teaching about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching?
Contact your provider if adverse effects occur.
A nurse is caring for a client who has a prescription for methotrexate. which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis? A. Aspirin B. Salicylates C. Sulfonylureas D. Ibuprofen
D
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug? A. Excessive salivation B. Increased thirst C. Blood in urine D. Shortness of breath
D
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 shuold explain that teratogenic drugs can cause which of the following? A. Maternal bleeding B. Maternal blood clots C. Gestational diabetes mellitus D. Fetal malformation
D
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 the client's risk for which of the following? A. Reduced drug absorption B. Drug dependence C. Altered drug distribution D. Drug toxicity
D
A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching? A. "Drug absorption occurs in the stomach." B. "You should expect immediate absorption of the drug." C. "You should allow the tablet to dissolve in your mouth." D. "Do not crush or chew the tablet."
D
A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching? A. Muscle twitching B. Laryngospasm C. Paresthia D. Vomiting
D
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 being teaching about drugs and discharge planning? A. After the client has a definitive diagnosis B. On the day of discharge C. When the client's family members are present D. As soon as possible
D
a nurse is preparing to administer alendronate to a client who has osteoporosis. the nurse should recognize which of the following as an adverse effect of alendronate? A. Venous thromboemboli B. Ventricular dysrhythmias C. Breast cancer D. Joint pain
D
A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? A. A client who had a mastectomy B. A client who had a knee arthroplasty C. A client who had a colectomy D. A client who had a cholecystectomy
D. A client who had a cholecystectomy
A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen? A. Asthma B. Diabetes mellitus C. Heart failure D. Alcohol use disorder
D. Alcohol use disorder
A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections? A. Butorphanol B. Acetaminophen C. Tramadol D. Aspirin
D. Aspirin
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions? A. Peptic ulcer disease B. A seizure disorder C. Anemia D. Coronary artery disease
D. Coronary artery disease
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? A. Check apical pulse before taking the drug B. Take the drug only as needed before exercising C. Rinse mouth after using the drug D. Have laboratory tests performed at regular intervals
D. Have laboratory tests performed at regular intervals
A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? A. Hypercalcemia B. Hypoglycemia C. Hypothermia D. Hypokalemia
D. Hypokalemia
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? A. Take the drug as needed for acute asthma B. Follow a low sodium diet C. Use an alternate-day dosing schedule D. Increase weight-bearing activity
D. Increased weight-bearing activity
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? A. Fever B. Bruising C. Polyuria D. Palpitations
D. Palpitations
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? A. Increases leukocyte activity B. Blocks muscarinic receptors C. Causes bronchodilation D. Reduces inflammation
D. Reduces inflammation
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? A. Use a spacer to improve inhalation B. Take the drug at the onset of bronchospasm C. Rinse mouth to prevent an oral fungal infection D. Take the drug once a day in the evening
D. Take the drug once a day in the evening
