Pharm Exam 2
A client has been prescribed dantrolene (Dantrium). Which question should the nurse ask the client?
"Are you currently pregnant."
Which statement should the nurse include in the parental teaching for the administration of acetaminophen of acetaminophen (Tylenol) to a child?
"Read the labels of all over-the-counter medications for the amount of acetaminophen (Tylenol)."
A client has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. Which information about adverse effects should the nurse provide in discharge teaching?
"Rebound congestion may occur if the prescription is used more than a few days."
A client diagnosed with epilepsy asks the nurse why he or she will have to take a prescription. Which response should the nurse provide the client?
"You will need to take a prescription on a continual basis to control the seizures."
A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the patient take?
1.5
A client is prescribed atropine. For which health problem should the nurse question giving this medication?
Acute closed-angle glaucoma
A client with hypertension is prescribed prazosin. Which should the nurse include when instructing the client about this medication?
Avoid all alcohol
A client with chronic back pain informs the nurse he has been receiving hypnosis, in addition to his medications. What is the nurse's best classification of this client's treatment?
Complementary Therapy
A client received an opioid analgesic after a head injury. For which complication should the nurse monitor this client?
Decreased respiratory rate
A client is prescribed phenobarbital (Luminal) for a seizure disorder. For which reason should the nurse question providing this medication to the client?
Glaucoma
A client's dose of dantrolene (Dantrium) is increased from 25 mg by mouth once daily to 100 mg by mouth twice daily. For which risk should the nurse closely monitor?
Hepatotoxicity
The healthcare provider has ordered bethanechol (Urecholine), a cholinergic drug, for the client with urinary retention. The client has an enlarged prostate gland. What is the priority action by the nurse?
Hold the the drug and contact the healthcare provider.
A client is experiencing muscle discomfort resulting from weight lifting. Which prescription should the nurse anticipate will be included in the treatment?
Ibuprofen (Advil)
A client is experiencing symptoms related to the later stages of Parkinson's, which medication do anticipate the client being prescribed?
Levodopa
A client is to receive low-dose nitrous oxide for a surgical procedure. Which should the nurse realize is the reason for this anesthetic to be used?
Permits full consciousness.
Which is the priority nursing assessment for the client that has received succinylcholine (Anectine)?
Respiratory paralysis
The nurse is teaching a client about zolpidem (Ambien). Which client statement should indicate to the nurse that teaching was effective?
"I'll take this medication on an empty stomach."
A client asks the nurse how morphine will control pain. Which response should the nurse provide the client?
"Interacts with receptors in your body that produce analgesia."
Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the client is experiencing an adverse reaction?
"My stools have been dark in color."
A client with epilepsy who has been seizure free and prescribed phenytoin (Dilantin) asks the nurse why he or she needs to still have blood testing. Which response should the nurse provide the client?
"Phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose."
A client that has been taking phenytoin (Dilantin) tells the nurse they want to stop taking the medication due to side effects. Which response should the nurse provide the client?
"Please do not stop the prescription abruptly, as you will have withdrawal seizures."
A client with epilepsy prescribed Phenobarbitol (Luminal) tells the nurse she is planning a pregnancy. Which statement should the nurse provide the client?
"Please talk to your doctor; this drug is contraindicated in pregnancy."
The patient asks what can be expected from levodopa-carbidopa-entacapone (Stalevo) he is taking to treat his Parkinson's disease. What is the best response by the nurse?
"Symptoms can be reduced and the ability to perform ADLs can be improved."
The spouse of a client prescribed an extended-release opioid medication asks if the dose can be crushed since the client has difficulty swallowing pills. Which response should the nurse provide?
"The medication must be swallowed whole. I'll speak with the provider about changing the prescription."
A client experiencing nervousness asks the nurse why escitalopram was prescribed. Which response should the nurse provide the client?
"The same brain chemicals are involved with anxiety and depression."
The nurse is teaching a client about possible causes of insomnia. Which client statement should indicate to the nurse that further teaching is needed?
"The use of antihypertensive medications may cause insomnia."
The family of a client with Parkinson's disease report an increase in symptoms before the next dose of medications is due. Which response should the nurse make?
"This may be due to the wearing-off effect and should be reported."
A client has been prescribed prazosin (Minipress), which information should the nurse provide?
"This medication may make you dizzy"
Which question should the nurse ask a postsurgical client prior to the administration of an opioid analgesic?
"Would you please rate your pain on a scale of 1 to 10?"
A client reveals that they recently ingested large amounts of heroin (an opioid agonist). You observe that the patient starts to exhibit a decreased level of consciousness and decreased respiratory rate. Your next action is to..
Administer nalaxone
Which client should the nurse be most concerned with taking benzodiazepines
An 87-year old client who uses a cane for ambulation.
A nurse is reading about the development of drugs that inhibit the parasympathetic nervous system. The nurse would look for articles about which drug classes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
Anticholinergics, Parasympatholytics, Muscarinic blockers
The nurse notes that a client is prescribed a muscarinic agent. For which health problem should the nurse withhold the medication?
Asthma
A client has been prescribed a benzodiazepine for anxiety. Which should the nurse recall about this treatment?
Benzodiazepines should be used for short-term therapy.
A client with severe opioid addition asks how withdrawal can be treated. Which medication should the nurse discuss with the client?
Buprenorphine
The healthcare provider is considering a benzodiazepine for a client because of muscle relaxant properties. Which medication should the nurse expect to be prescribed? (Select all that apply.)
Clonazepam (Klonopin), Diazepam (Valium), Lorazepam (Ativan)
The nurse has administered sumatriptan (imitrex) to a client. Which effects should the nurse monitor the patient for?
Decreased level of consciousness.
A client is in status epilepticus. Which medication should the nurse anticipate being prescribed for this client?
Diazepam
A client is going to have lidocaine for minor dental surgery. For which health problem should the nurse assess this client?
Dysrhythmias
A nurse is working with a student nurse. The nurse explains what a client would experience if the adrenergic receptors are activated. Which of the following statements by the student nurse indicates that the education was effective?
Fight or flight effects
A 32-year old female patient has been taking lorazepam (Ativan) for her anxiety and is brought into the Emergency Department after having taken 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case?
Flumazenil
Which of the following medications is considered part of the therapeutic class of antiseizure medication, or antiepileptics. Select all that apply.
Gabapentin, Valproic acid, Phenytoin.
Which prescription is nephrotoxic if an overdose occurs?
Ibuprofen (Advil)
Which should the nurse understand is the action of the pharmacotherapy used to treat Parkinson's disease?
Increase the amount of dopamine and reduce the amount of acetylcholine
A client is suspected to have been overdosed with Propofol (diprivan). Which immediate nursing actions are indicated?
Monitor the client for respiratory depression.
A client prescribed cyclobenzaprine (Amrix) reports not understanding the importance of moving slowly when getting out of bed each morning. Which adverse effect should the nurse consider when responding to the client?
Orthostatic hypotension
A client experiencing tachycardia dilated pupils, hallucinations and conduction is suspected of having anticholinergic toxicity. Which drug should the nurse expect to be prescribed to reverse these effects?
Physostigmine
A client is being treated for an anxiety disorder. For which reason should the nurse question providing escitalopram (Lexapro) to this client?
Prescribed a monoamine oxidase inhibitor.
A 17-year old patient has been prescribed escitalopram (Lexapro) for increasing anxiety, uncontrolled by other treatment measures. Because of this patient's age, the nurse will ensure that the patient and parents are taught what important information?
Signs of increasing depression or thoughts of suicide should be reported immediately.
The nurse is preparing to administer benztropine (Cogentin), which is an anticholinergic drug. The nurse understands this drug is contraindicated in which client?
The client with tachycardia.
