Pharm Exam #1

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. hot flashes B. urinary retention C. constipation D. bradycardia

A. hot flashes

taking raloxifene. Following are adverse effects? A. hot flashes B. lump in breast C.swelling or redness in calf D. shortness of breath E. difficulty swallowing

A. hot flashes C. swelling or redness in calf D. shortness of breath

Nurse is caring for a client who has a prescription for methotrexate. Power Rangers would likely be prescribed in conjunction during the initial treatment of RA? A. ibuprofen B. salicylates C. aspirin D. Sulfas

A. ibuprofen

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? A. cough B. slow HR C. diarrhea D.hearing loss

C. diarrhea

PCP prescribes calcitonin salmon, knowing effects the client should; A. increase fluid intake B. rise slowly from reclining position C. increase calcium and vitamin D intake D. rest painful joints after exercise

C. increase calcium and vitamin D intake

A nurse is teaching a client who has a new prescription for levadopa/carbidopa for parkinsons dx which instructions? A. increase intake protein rich foods B. expect muscle twitching C. take with food D.anticipate releif of manifestations in 24 hrs

C. take with food

Bupropion as an aid to quit smoking: What is an adverse effect? A. cough B. joint pain C. alopecia D. insomnia

D. insomnia

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor? A. confusion B. dry mouth C. double vision D. nausea

D. nausea choliergic so wont cause anticholinergic effects confusion should decrease

A nurse is teaching a client about raloxifene. Which of the following information should be included? S.A.T.A A.Increase physical activity by taking walks. B.Use a contraceptive if there's any possibility of pregnancy. C. Increase intake of calcium and vitamin D. D.take on an empty stomach E.breast exams 2x per mos

Increase physical activity by taking walks. Use a contraceptive if there's any possibility of pregnancy. Increase intake of calcium and vitamin D.

adaluminab is given via _________ injection

SubQ

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? [] to determine drug-food interactions [] to determine if dosage modification is indicated [] to determine how the drug is absorbed [] to determine availability

[] to determine if dosage modification is indicated ex with renal disease there will be precautions

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following information should the nurse include? A.avoid being near people who are sick with a communicable illness. B. periodic laboratory tests are required C.report bruising or petechiae D. avoid drinking alcohol E. drug effects are immediate

avoid being near people who are sick with a communicable illness. periodic laboratory tests are required. report bruising or petechiae avoid drinking alcohol

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 inculde? A. drink 240ml of water with the calcium tablets B. chew calcium tablets before swallowing them C. take the drugs 1 hour apartdivide the daily dosage of calcium into three 500-mg doses is correct D. E.take with food

drink 240ml of water with the calcium tablets chew calcium tablets before swallowing them take the drugs 1 hour apart divide the daily dosage of calcium into three 500-mg doses is correct

a provider prescribes phenobarb it has a half life of 4 days. How many times per day should you give it. A.1 B. 2 C.3 D. 4

one

first gen help mostly with ____________ symptoms of schizophrenia

positive

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? A. minimize diaphoresis B. maintain abstienence C. lessen craving D. prevent delirium tremens

prevent delirium tremors

Do you nurse is teaching a client who is taking etanercept for RA. The nurse should instruct the client to monitor for which of the followingIndications of an adverse reaction to the drug? A. tinnitis B. skin rash C. diarrhea D. dysphagia

skin rash

which seizure meds can be given for absence seizres?

valproic acid lamotrigine ethosuximide

The client diagnosed with Parkinson's is being discharged on levodopa/carbidopa. Which statement is the scientific rationale for combining these medications? ◦1. There will be fewer side effects with this combination than with carbidopa alone. ◦2. Dopamine D requires the presence of both of these medications to work. ◦3. Carbidopa makes more levodopa available to the brain. ◦4. Carbidopa crosses the blood-brain barrier

◦3. Carbidopa makes more levodopa available to the brain.

Which of the following adverse effects of the imipramine is considered the most serious? A. dry mouth B. Constipation C. urinary retention D. orthostatic hypotension

D. orthostatic hypotension - ABCs risk for falls, need to intervene ASAP

A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? A.teach client about meds B. determine the dosage C. monitor for adverse effects D. safegaurd medications/lock controlled substances E. identify insurance status

A C D

a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizine

A. Carbamazepine

When reviewing the indications for various antidepressants, nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? A. SAD B.Nicotine addiction C.Depression D.insomnia E.motion sickness

A. SAD B.Nicotine addiction C.Depression can cause insomnia

anaphylactic shock, which measures? A. initiate O2 therapy to support resp function B. admin epo C. give diphenhydramine D. establish + maintain airway E admin drug agonist

A. initiate O2 therapy to support resp function B. admin epo C. give diphenhydramine D. establish + maintain airway

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? A. Furosomide for hypertension B. acetaminophen for HA C. ciprofloaxacin for UTI D. monteleukast for anxiety

A. Furosomide for hypertension

A nurse is assessing a client who is postoperative following an outpatient endoscopy using midazoam. A nurse should monitor for which of the following findings as an indication that the client is ready for discharge ? A. The client's capnography has returned to baseline. B. The client can respond to their name when called C. the client is passing flatus D. The client is requesting oral intake

A. The client's capnography has returned to baseline. indicates gas exchange is adequate

Prior to starting alendronate the nurse should assess A. ability to swallow B. baseline vision C. client's ability to lay flat D. absence of nasal dryness

A. ability to swallow B. baseline vision

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 follow adverse reactions should the nurse suspect? A. acute dystonia B. seratonin syndrome C. cholinergic crisus D.SJS

A. acute dystonia

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 reaction cause by alpzaolam? A. anxiety B. ringing in the ears C. inc appetite D. muscle spasms

A. anxiety

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug? A. blood pressure B. urine specific gravity C. pedal pulse strength D. BUN

A. blood pressure can cause ortho hypo

A client is starting to take amitryptiline which should you watch for and report? A. blurred vision B. urinary hesitancy C. diarrhea D. joint pain E. tachycardia

A. blurred vision B. urinary hesitancy E. tachycardia

PCPs use which info when prescribing drugs to kids? A. body surface area B. age C. weight D. developmental level E. drug properties

A. body surface area B. age C. weight E. drug properties

A nurse is providing teaching to a client who has a prescription for bus-irons to treat anxiety. Which of the following instructions should the nurse include? A."Take a missed dose as soon as you remember" B. take with grapefruit juice C. take at first sign of anxiety D. drink with chamomile tea

A."Take a missed dose as soon as you remember" grapefruit juice dec absorption take regularly for anxiety

A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply). A.Use of herbal products B.Daily fluid intake C.Ability to swallow D.Previous surgical history E.Allergies

A.Use of herbal products C.Ability to swallow E.Allergies

a nurse is prepping IM penacillin, client states they took it 3 years ago and developed a rash. A. administer B. withold C. change to oral D. admin antihistamine at same time

B withhold

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? A. Iv fluid infused over 4hr instead of prescribed 8 hr. Client tolerated fluids well, provider notified B. .9% Na cl 1l IV infused over 4hr. Vital signs stable, provider notified C. 1L of .9% sodium chloride completed at 0900 client denies SOB D.IV fluid initiated at 0500 lungs clear to auscultation

B. .9% Na cl 1l IV infused over 4hr. Vital signs stable, provider notified

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Tingling toes B. Sexual dysfunction C. Absence of dreams D. pica

B. Sexual dysfunction

taking venlafaxine. Which should you include about advising? A. discontinue immediately for depression B. take with food to reduce GI distress C. monitor and report insomnia D. have BP checked regularly E. check with provider before taking herbal supplements

B. take with food to reduce GI distress C. monitor and report insomnia D. have BP checked regularly E. check with provider before taking herbal supplements

a nurse is preparing eye drops to client, which actions? A. have client lie on one side B. ask client to look up at ceiling C. tell client to blink once in eye D. drop into conjunctival sac E. instruct client to close eye gently after insertion

B. ask client to look up at ceiling D. drop into conjunctival sac E. instruct client to close eye gently after insertion

Calcium 8.8 which med? A. calcitonin-salmon B. calcium carbonate C. zoledronic acid D. ibandronate

B. calcium carbonate

A nurse is assessment a client who taking lithium carbonate. Which is possible indication for toxicity? A. severe HTN B. coarse tremors C. constipation D. muscle spasms

B. coarse tremors

a nurse is caring for a client experiencing IV extravasation. antidote admin is required. After stopping IV infusion what should be done? A. remove cath B. withdraw soln from IV access C. admin antidote to vesicant D. insert new IV access in different extremity

B. withdraw soln from IV access

A nurse adminsters a dose of metformin to a client instead of the prescribed dose of metaclopramide. Which of the actions should the nurse take first? A. report the incident to the charge nurse B. Notify the provider C. Check the client's blood glucose D. Fill out and incident report

C. Check the client's blood glucose

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? A. Felodipine B. Gaufenesin C. Digoxin D. Regular insulin

C. Digoxin

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A. ondansetron B. Magnesium sulfate C. Flumazenil D. Protamine sulfate

C. Flumazenil

A nurse is teaching about transdermal patches. Which show the client understands? A. i will cleam with alcohol swab before applying B. i will rotate sites weekly C. I will apply to area of skin w/o hair D. i will place new patch same site as old patch

C. I will apply to area of skin w/o hair

A nurse is teaching to a client with RA getting methotrexate what should be included? A. I will be sure to return to the clinic atleast once a year to have my blood drawn while taking B. i can recieve live flu vaccines on this C. I will let the doctor know if i develop sores in my mouth while taking this D. I should stop taking oral contraceptives

C. I will let the doctor know if i develop sores in my mouth while taking this

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A. I will have increased saliva production B. I will continue taking the medication until the rash disappears C. I will taper off the medication before discontinuing it D. I will report urinary incontinance

C. I will taper off the medication before discontinuing it

a nurse is preparing IV therapy for older adult which action is correct? A. razor off hair B. back of client hand for cath C. distend veins via blood pressure cuff D.direct the client to raise arm above level of heart

C. distend veins via blood pressure cuff

Which labs should be taken for someone on interferon beta 1b to treat MS? A. serum osmolality B. blood glucose C. thyroid hormones D. liver function E. CBC

C. thyroid hormones D. liver function E. CBC

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? A. The client's provider is required to complete medication reconciliation B. Medication reconciliation at discharge i limited to the medication ordered at the time of discharge C.A transition in care requires the nurse to conduct medication reconciliation D. medication reconciliation is limited to the name of the medications that the client is currently taking

C.A transition in care requires the nurse to conduct medication reconciliation

a nurse is reviewing med metabolism at an in-service which is a reason to administer lower med doses? A. increased renal excretion B. increased metabolism enzymes C.liver failure D. Peripheral vascular dx E. concurrent use of med that same pathway metabolizes

C.liver failure E. concurrent use of med that same pathway metabolizes

A nurse is providing teaching to a client who us about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instruction should the nurse include? (Select all that apply) A.Change positions slowly from sitting or lying to standing B.Do not stop taking the drug abruptly C.Take the drug at bedtime to prevent daytime drowsiness D.Increase fiber and fluid intake E. avoid crushing

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 teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching. A. I will drink a glass of milk when I take the risdronate B. I will take the risdronate 15 minutes after my evening meal C. I should take an antiacid with the risdronate to avoid nausea D. I should sit up for 30 mins after taking the risedronate

D. I should sit up for 30 mins after taking the risedronate

A nurse is caring for a client who has been taking selegiline to treat Parkinson's disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following? A. frequent urination B. jaundice C. cellulitis D. muscle rigidity

D. muscle rigity

a nurse is providing discharge teaching to a client with a new prescription clozapine which should be included in teaching? A. high carb snack between meals B. tremors develop if taking for too long C. may experience numbess of mouth after each dose D. WBC count measured every week

D. WBC count measured every week

a nurse is providing instruction to client with calcitonin salmon prescription. Which instructions? A. swallow tablets on empty stomach with water B. watch skin rash and redness when applying topically C. mix liquid med with jjuice and take after meals D. alternate nostrils each time inhaled

D. alternate nostrils each time inhaled

Nurse is caring for someone taking lithium. To prevent toxicity what should they do? A. avoid acetaminophen for HA B. restrict intake foods rich in sodium C. decrease fluids to less than 1,500 mL daily D. limit aerobic activity in hot weather

D. limit aerobic activity in hot weather

A client is preparing to administer digoxin to a client who states, "I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make? A."Your physician prescribed it for you, so you really should take it." B."Well, let's just get it over quickly then." C."Okay, I'll just give you your other medications." D."Tell me your concerns about taking this medication."

D."Tell me your concerns about taking this medication."

A nurse is teaching a patient about self administrating methotrexate to a client who has RA. Which statement should the nurse make? A. Drink 2-3 L of water per day to promote drug excretion. B. use NSAIDS to dec toxicity C. take in morning to prevent insomnia D.if you miss dose take next one

Drink 2-3 L of water per day to promote drug excretion.

A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? A. MSO4 5 mg subcut every 4 hr PRN for severe pain B.Morphine 5mg subcut every 4 hr PRN sever pain C. MSO4 5 mg SQ every 4hr PRN severe pain D. morphine 5.0 mg subcutaneously every 4hr PRN severe pain

Morphine 5mg subcut every 4 hr PRN sever pain

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (select all that apply) [] periodic laboratory tests are essential to measure serum drug levels [] monitoring for indications of toxicity is important [] taking the drug with an inducing agent will increase the possibility of toxicity [] taking the smallest effective dose is crucial [] increasing fluid intake is recommended to avoid toxicity

Periodic laboratory tests Monitoring for indications of toxicity is important is correct .Taking the smallest effective dose is crucial is correct.

A nurse is teaching a client about calcitonin-salmon Intranasal spray to treat osteoporosis. Which of the following information should the nurse include? S.A.T.A A.Report rash or itching. B. Prime the pump before the first dose. C. Report nasal irritation. D deliver two sprays each nostril E. hold the pump horizontally

Report rash or itching. Prime the pump before the first dose. Report nasal irritation. hold vertically 1 spray

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 that apply) A.Tolerance B.Anxiety C.Sedation D.Respiratory depression

Tolerance Anxiety Sedation Respiratory depression

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?[] "itching is an expected adverse effect of amoxicillin." [] "itching can indicate amoxicillin toxicity." [] "itching can indicate a hypersensitivity to amoxicillin." [] "itching can result from dry skin, which is often caused by amoxicillin."

[] "itching can indicate a hypersensitivity to amoxicillin."

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

[] adverse effect

alendronate teaching A. empty stomach B. before bedtime C. with antiacid D. upright 30 mins following dose E. full glass H20

A. empty stomach D. upright 30 mins following dose E. full glass H20

A nurse is caring for a client who takes peroxitine to treat PTSD and reports they grind their teeth at night. Which to manage bruxism? A. concurrent use buspirone B. admin different SSRI C. change to a different antidepressant class D. increase paroxetine dose E. use of mouth gaurd

A. concurrent use buspirone C. change to a different antidepressant class E. use of mouth gaurd

patient experiencing malignant hyperthermia what to do A. cooling blanket B O2 at 100% C. iced .9% NaCl D. admin potassium chloride E. monitor core body temp

A. cooling blanket B O2 at 100% C. iced .9% NaCl E. monitor core body temp

a client recieves spinal anesthesia with lidocaine and epinephrine, Epinephrine helps how? A. dec risk for spinal HA B. reduces risk for infection C. prolonges anesthetic effects D. prevents respiratory depression

A. dec risk for spinal HA

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 A. drowsiness B. HA C rash D ataxia E hirtuism

A. drowsiness B. HA C rash

you are caring for a client who is preop and NPO. client. take carbamezapine for seizure DO, which action? A. give oral dose with sip of water B. give IV C. withold D. admin 1/2 dose

A. give oral dose with sip of water

there may be a drug interaction between glucocorticoids and calcium what is that? A. glucocorticoid may cause reduced absorption of calcium supplement B. glucocorticoid may potentiate effects of calium C. oral calcium with glucocorticoid = bradycardia D. calcium supplement may increase risk PUD

A. glucocorticoid may cause reduced absorption of calcium supplement

A nurse is providing info to a client with early parkinso's and prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this med? A. hallucinations B.increased salivation C. diarrhea D. discoloration of urine

A. hallucinations

a nurse is caring for a client taking entanercept. Which of the following adverse effects is most important to mention? A. injection site rxns can occur B. elevation of liver enzymes can occur C. gastric perforation can occur D. vision changes can occur

A. injection site rxns can occur

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. joint pain B. venous thromboemboli C. ventricular arythmias D. breast cancer

A. joint pain

which findings indicate to PCP that the patient might have osteoporosis? A. menopause B. calcium supplements C. long term corticosteroid use D. weight E. loss of height

A. menopause C. long term corticosteroid use E. loss of height

A nurse is caring for a client who is 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 that apply) A.Tremors B.Confusion C.Nausea D. Muscle weakness E. bronchospasm

A.Tremors B.Confusion C.Nausea D. Muscle weakness

A nurse is caring for a client who was admitted to the emergency department 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? A.seizure activity B. ischemic stroke C. drowsiness D. resp depression

A.seizure activity

PCPs do not prescribe contraindicated drugs due to risk for A.serious adverse rxns B. drug tolerance C. drug dependence D. interactions with other drugs

A.serious adverse rxns

A health care professional is careing for a patient who is about to begin taking pramipexole (Mirapex) to treat Parkinson's disease. The health care proessional should recognize that which of the following laboratory test require monitoring? A. thyroid tests B. creatinine C. C-reactive D. CBC

B. creatinine

nurse preparing teaching plan for someone taking carbamezapine. Which should be included? A. med can safely be taken during preggo B. eliminate grapefruit juice form diet C. need periodic blood count and carbamezapine levels D. notify if rash E. avoid driving first few days after starting med

B. eliminate grapefruit juice form diet C. need periodic blood count and carbamezapine levels D. notify if rash E. avoid driving first few days after starting med

new prescription baclofen, which shows understanding A. stop taking ASAP if dizziness B. gradually increased dose C. increase fiber to prevent constipation D. wont be able to drink alc E empty stomach in morning

B. gradually increased dose C. increase fiber to prevent constipation D. wont be able to drink alc

Client asks difference between generic and trade/brand name drug. Which is true with generic? A. have potential for abuse and dependence B. have same chemical composition as brand-name drug C. may have several brand names D. may have several generic names E. usually less expensive than brand name

B. have same chemical composition as brand-name drug C. may have several brand names E. usually less expensive than brand name

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over the-counter medications? A.aspirin B. ibuprofin C. famotidine D. Bisacodyl

B. ibuprofin

administering meds to 4 mos old infant, what considerations? A. more rapid gastric emptying B. infants = immature liver func C. BBB poorly developed D. increased ability to absorb topical meds E. increased protein bind sites

B. infants = immature liver func C. BBB poorly developed D. increased ability to absorb topical meds

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A. methadone B. naloxone C. diazepam D. buproprion

B. naloxone

Early manifestations of lithium toxicity include which? A. seizures B. nausea C. hypotension D. ataxia E. muscle weakness

B. nausea E. muscle weakness ataxia is a late sign

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately? A.dyspepsia B. diarrhea C. dizziness D. dyspnea

D. dyspnea this is r/t bronchoconstriction all can occur r/t cholinergic effects but using ABC framework is most dangerous

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? A. Tinnitis B. Twitching eyelids C. blue-green skin discoloration D. fatigue

D. fatigue not serious in itself but shows possibility of immunosuppression

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse affects? S.A.T.A A. Jaw pain. B. blurred vision C. muscle pain D. tinnitis E. drowsiness

Jaw pain. Blurred vision. Muscle pain.

A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over-the-counter drug. The nurse should identify that which of the following is correct regarding the over-the-counter drugs? (select all that apply) [] they do not require the supervision of a nurse [] they can interact with other drugs [] they should be included in the client's drug history assessment [] they are less effective than prescription drugs [] they do not cause toxicity

[] they do not require the supervision of a nurse [] they can interact with other drugs [] they should be included in the client's drug history assessment

A nurse is caring for a client who has depression and is taking venlafaxine. Monitor for which adverse effects? A. mydriasis B. dizzines C. decreased libido D. alopecia E. hypotension

A. mydriasis B. dizzines C. decreased libido

A client is taking chlorpromazine and develops a high fever, respiratory depression, and diminished level of consciousness. What condition has the patient developed? A. neuroleptic malignant syndrome B. dystonia C. anhedonia D. akathisia

A. neuroleptic malignant syndrome

A nurse is reviewing clients med record and notes a prescription to measure trough. which action? A. obtain blood specimen immediately before next dose B. verify client has been taking med for 24 hr before obtaining specimen C. ask client to provide urine specimen after nect dose D. admi med and obtain blood specimen 30 mins later

A. obtain blood specimen immediately before next dose

A nurse is reviewing lab finding for someone taking lithium their levels are 2.1. What is the appropriate action? A. perform immediate gastric lavage B. prepare for hemodialysis C. aminister oral dose lithium D. request stat repeat of test

A. perform immediate gastric lavage

A patient is beginning a new drug regimen of escitalopram (Lexapro) for depression. Before administering this medication, it is necessary to assess for which of the following? A. prior recent use of monoamine oxidase (MAO) inhibitors B. prior diet high in tyramine-containing foods C. history of cigarette use D. history of seizure disorders

A. prior recent use of monoamine oxidase (MAO) inhibitors

which are preventing disease and treating osteoporosis? A. raloxifene B. calcitonin-salmon C. alendronate D. NSAIDS

A. raloxifene: tx and prevention C. alendronate: tx and prevention postmenopausal osteoporosis calcitonin only treatment NSAIDs treatment

Older adults may be at risk for toxicity r/t which physiologic change r/t aging A. reduced hepatic blood flow B. inc golermular filtration rate C. reduced body fat D. increased gastric motility

A. reduced hepatic blood flow

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. report s/sx of infection asap B. 1x weekly injection into thigh C. MMr vaccine 1 mos after starting D. cant take ibuprofin

A. report s/sx of infection asap

A nurse is caring for client with prescription of calcitonin-salmon. Which before beginnign? A. skin test for allergy to med B. ECG to rule out cardiac dysrythmias C. mantoux test to rule out exposure to TB D. LFT for med toxicity

A. skin test for allergy to med

a nurse assessing IV cath insertion for client with nonvesicant soln notes swelling at site w dec temp. Which actions? A. stop infusion B. start new infusion distal C. apply warm compress D. elevate client arm E. obtain specimen for culture at insertion site

A. stop infusion C. apply warm compress D. elevate client arm

taking sumatriptan to treat migraines. which instructions? A. take after onset migraine B. admin one nasal spray each nostril C. take it 1/day to prevent D. repeat dose once HA returns E. allow to dissolve under tongue

A. take after onset migraine D. repeat dose once HA returns

Taking alendronate for osteoporosis which instructions? A. take in morning before eating B. chew tablets to inc bioavailability C. drink 8oz glass water with each tablet D. take with antiacid if heartbirn E.avoid lying down after taking

A. take in morning before eating C. drink 8oz glass water with each tablet E.avoid lying down after taking

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? A. temp 39.7 - 103.5 B. urinary retention C. heart rate 56/min D. muscle flaccidity

A. temp 39.7 - 103.5

A nurse is caring for someone taking valproic acid. Which blood lab tests? A. thrombocyte B. glucose C.amylase D. LFTs E. potassium

A. thrombocyte - r/t agranulocytosis C.amylase - r/t pancreatitis D. LFTs - r/t liver toxicity

A new prescription fro oxcarbezepine. which instructions? A. use caution if diuretic B. consider alternate form contraception if using oral contraceptives C.chew gum to increase saliva D. avoid driving until you know how it affects you E. notify provider if skin rash

A. use caution if diuretic B. consider alternate form contraception if using oral contraceptives D. avoid driving until you know how it affects you E. notify provider if skin rash

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 reaction cause by alprazolam? A. wear sunscreen outside B. stop taking immediately with sore throat C. take w food for GI distress D. take in morning

A. wear sunscreen outside always taper

signs of amphetamine-dextro to report A. weight loss B. insomnia C. hallucinations D. ortho hypo E. flu-like s/sx

A. weight loss B. insomnia C. hallucinations

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A."If you have persistent headaches, let the provider know" B. weigh yourself 2x per mos C. reduce sodium intake D. don't improve symptoms 10 days = increase dose

A."If you have persistent headaches, let the provider know" can cause hyponatremia; don't want to decrease intake may take 4-6 weeks for effect

A nurse is preparing to administer medication to a client who tells the nurse, " I don't want to take my fluid pill until I get home today." Which of the following action should the nurse take? A.Document the refusal and inform the client's provider. B. File an incident report with the risk manager C. contact the pharmacist to pick up the medication D. give the client the medication to take at home and document that it was administered

A.Document the refusal and inform the client's provider.

Nurse is assessing a client who began taking haloperidol which is the priority to report? A. shuffling gait B. neck spasms C. drowsiness D. sexual dysfunction

B. neck spasms

a nurse is providing teaching to a client who is to begin taking risperidone. Which should be included? A. add snacks to diet to prevent weight loss B. notify if you have trouble sleeping C. mild seizures with this med D. likely to increase libido

B. notify if you have trouble sleeping

A 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? A. hyperammonia B. phenytoin toxicity C. peptic ulcer disease D. HTN

B. phenytoin toxicity these drugs both have many interactions!

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (select all that apply) [] clients can achieve desired effects with the use of lower dosages [] taking the two drugs together can reduce the effects of one or both drugs [] taking the two drugs together can potentiate the effects of one or both drugs [] the two drugs can produce an action neither would have produced alone [] both drugs have similar actions

[] clients can achieve desired effects with the use of lower dosages [] both drugs have similar actions potentiation = synergistic

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? [] Adverse effects [] indications [] pharmacokinetics [] nursing implications

[] indications

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) [] low blood pressure [] wheezing [] bradycardia [] peripheral edema [] difficulty swallowing

[] low blood pressure [] wheezing [] difficulty swallowing

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? [] contraindications [] precautions [] paradoxical effects [] adverse effects

[] precautions

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) [] the newborn's weight [] how much breast milk the newborn consumes each day [] whether or not the benefits to the client outweigh the risks to the newborn [] the properties of the drug [] the route of administration of the drug

[] the newborn's weight [] how much breast milk the newborn consumes each day [] whether or not the benefits to the client outweigh the risks to the newborn [] the properties of the drug

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following? [] therapeutic effect [] adverse reaction [] contraindication [] precaution

[] therapeutic effect