Pharm Exam 3 ATI Book Quizzes

A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? A. "Remove the prior dose before applying a new dose." B. "Rub the ointment directly onto your skin until it is no longer visible." C. "Cover the applied ointment with a clean guaze pad." D. "Apply the ointment to the same skin area each time."

A. "Remove the prior dose before applying a new dose. "

A nurse is teaching a client who has a new prescription for beclomethasone. which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication" B. "Limit fluid intake while taking this medication" C. "Increase your intake of vitamin B12 while taking this medication" D. "You can take the medication as needed."

A. "Rinse your mouth after each use of this medication."

A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the care plan of care? (select all that apply) A. Assess for tinnitus B. Report urine out 50 mL/hr C. Monitor serum potassium levels D. Elevate the head of bed slowly before ambulation E. Recommend eating a banana daily

A. Assess for tinnitus C. Monitor serum potassium levels D. Elevate the head of bed slowly before ambulation E. Recommend eating a banana daily

A nurse is reviewing the health record for a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia

A. Asthma

A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. Contact provider if heart rate is less than 60/min B. Check pulse rate for 30 seconds and multiply result by 2 C. Increase intake of sodium D. Take with food if nausea occurs

A. Contact provider if heart rate is less than 60/min

A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client history that can interact with ranolazine? (select all that apply) A. Digoxin B. Simvastatin C. Verapamil D. Amlodipine E. Nitroglycerin transdermal patch

A. Digoxin B. Simvastatin C. Verapamil

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (select all that apply) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation

A. Dry mouth D. Drowsiness E. Urinary hesitation

A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effect that is a manifestation digoxin toxicity? (select all that apply) A. Fatigue B. Constipation C. Anorexia D. Rash E. Diplopia

A. Fatigue C. Anorexia E. Diplopia

A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? A. Increase the amount of dietary fiber in the diet B. Drink grapefruit juice daily to increase vitamin C intake C. Decrease the amount of calcium in the diet D. Withhold food for 1 hr after the medication is taken

A. Increase the amount of dietary fiber in the diet

A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening B. Cut each patch in half if angina attacks are under control C. Take off the nitroglycerin patch for 30 min if a headache occurs D. Apply a new patch every 48 hr

A. Remove the patch each evening

A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. which of the following information should the nurse include? A. Take the medication with food B. Plan to take the medication at bedtime C. Expect increased swelling of the ankles D. Fluid intake should be limited in the morning

A. Take the medication with food

A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Weight gain B. Nervousness C. Bradycardia D. Constipation

A. Weight gain

A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? A. "Take two more sublingual tablets at the same time." B. "Call the emergency response team." C. "Take a sustained-release nitroglycerin capsule." D. "Wait another 5 minutes then take a second sublingual tablet."

B. "Call the emergency response team."

A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetycsteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your cough." B. "Expect this medication to smell like rotten eggs." C. "Expect this medication to cause euphoria." D. "Expect this medication to turn your urine orange."

B. "Expect this medication to smell like rotten eggs."

A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hrs while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness." D. "I can use this medication when my nasal passages are blocked."

B. "It can take as long as 3 weeks before the medication takes a maximum effect."

A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate."

B. "Tremors an adverse effect of this medication."

A nurse is providing instructions to a client who has a new prescription albuterol and beclomethasone inhalers for the control of asthma. which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day B. Administer the albuterol inhaler prior to using the beclomehtasone inhaler C. Use beclomethasone if experiencing an acute episode D. Avoid shaking the beclomethasone before use

B. Administer the albuterol inhaler prior to using the beclomethasone inhaler

A nurse is planning to administer a first of captopril to a client who has hypertension. Which of the following medications can intensify first does hypotension? (select all that apply) A. Simvastatin B. Hyrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren

B. Hydrochlorothiazide D. Clonidine E. Aliskiren

A nurse is planning caring for a client who has a new prescription for torsemide. The nurse should plan to monitor for which the following adverse reactions of the medications? (select all that apply) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmia

B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmia

A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased myocardial contractility C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessels

B. Increased myocardial contractility

A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation

B. Nasal congestion

A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

C. Delirium

A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size

C. Dyspnea

A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia

C. Neutropenia

A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/L

C. Potassium 3.4 mEq/L

A nurse is teaching a client who has a new prescription for dextromethropan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Diarrhea B. Anxiety C. Sedation D. Palpitations

C. Sedation

A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. Serum sodium 144 mEq/L B. Urine output 120 mL in 4 hr C. Serum potassium 5.2 mEq/L D. Blood pressure 140/90 mm Hg

C. Serum potassium 5.2 mEq/L

A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? A. Furosemide B. Captopril C. Ranolazine D. Metoprolol

D. Metoprolol