Pharm Exam #3 Nervous and Respiratory system
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 drug reaction cause by alprazolam? a. Anxiety b. Ringing in the ears c. Increased appetite d. Muscle spasms
A
A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? a. Orthostatic hypotension b. Hearing loss c. Gastrointestinal bleeding d. Weight loss
A
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administration St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? a. Hallucinations b. Decreased temperature c. Hypersexual behavior d. Constipation
A
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching? a. "You can have a decreased desire for intimacy while taking this medication" b. "You should take this medication at bedtime to help promote sleep" c. "You will have fewer urinary adverse effects if you urinate just before taking this medication" d. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication"
A
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? a. "Take a missed dose as soon as you remember" b. "Take the drug as needed at the first sign of anxious feeling" c. "Take the drug in the morning with a glass of grapefruit juice" d. "Drink a cup of chamomile tea at night with the drug"
A
A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? a. Preform immediate gastric lavage b. Preform the client for hemodialysis c. Administer an additional oral dose of litium d. Request a stat repeat of the laboratory test
A
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? a. Renal function impairment b. Cataracts c. Recent weight loss d. Smoking
A
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 mediation as needed"
A
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 manifestations as an adverse effect of this medication? a. Weight gain b. Nervousness c. Bradycardia d. Constipation
A
A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? a. "It can take several weeks before you feel like the medication is helping" b. "Take the medication just before bedtime to promote sleep" c. "You should take the medication when needed for obsessive urges" d. "Monitor for weight gain while taking this medication"
A
A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? a. "I should avoid eating right before I chew a piece of nicotine gum" b. "I will need to stop using the nicotine gum after 1 year" c. "I know that nicotine gum is safe alternative to smoking if I become pregnant" d. "I must chew the nicotine gum quickly for about 15 minutes"
A
A nurse is teaching a client, who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? a. Take the medication in the morning to prevent insomnia b. Chew sugarless gum to moisten the mouth c. Use cooling measures to decrease fever d. Take an antacid to relieve nausea
A
A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? a. Wear sunglasses when outdoors b. Check your temperature daily c. Take this medication in the morning d. Add extra calories to your diet
A
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? a. Asthma b. Seizure disorder c. Diabetes mellitus d. Rheumatoid arthritis
A
A patient asks the nurse to explain how antipsychotic drugs work to make him feel better. The nurse understands that antipsychotics act in which way? a. Blocking actions of dopamine b. Blocking actions of epinephrine c. Promoting prostaglandin synthesis d. Enhancing the action of gamma-aminobutyric acid
A
A patient hospitalized with a fractured femur after an automobile accident develops nausea and vomiting, abdominal cramps , and restlessness. The nurse suspects that the patient is experiencing which reaction? a. opioid withdrawal b. Alcohol toxicity c. Flashbacks from LSD use d. Nicotine withdrawal
A
A patient is prescribed lorazepam. What does the nurse know to be true regarding lorazepam? a. It is used to treat anxiety, status epilepticus, insomnia, and sedation induction b. It has a maximum adult dose of 25mg/day c. It caused plasma levels to be decreased when combined with cimetidine d. It interferes with the binding of dopamine receptors
A
A patient with chronic obstructive pulmonary disease is taking the leukotriene antagonist montelukast. The nurse is aware that this medication is given for which purpose? a. Maintenance treatment of asthma b. Treatment of acute asthmatic attack c. Reversing bronchospasm associated with chronic obstructive pulmonary disease d. Treatment of inflammation in chronic bronchitis
A
A selective serotonin reuptake inhibitor is prescribed for a patient. The nurse knows that which drug is a selective serotonin reuptake inhibitor? a. Paroxetine b. Amitriptyline c. Divalproex sodium d. Bupropion hydrochloride
A
It is important for the nurse teaching the patient regarding secobarbital to include which information about the drug? a. It is a short-acting drug that may cause one to awaken early in the morning b. It is an intermediate-acting drug that frequently causes rapid eye movement rebound c. It is an intermediate-acting drug that frequently causes a hang-over effect d. It is a long-acting drug that is frequently associated with dependence e. It is an ultra-short-acting central nervous system depressant that induces hypnosis f. It may cause seizures after prolonged use
A
The nurse is providing medication instructions to a patient with acute muscle spasms who has been prescribed cyclobenzaprine. Which statement indicates to the nurse that the patient understands the instructions? a. I plan to take this medication with half a glass of milk b. Cyclobenzaprine should be taken once daily at bedtime c. I will only drink one glass of wine a day before taking d. I will be able to take this drug with grapefruit juice
A
The nurse is teaching a patient to self-administer medications. The nurse knows that which drug is used to treat narcolepsy? a. Modafinil b. Atomoxetine c. Lisdexamfetamine d. Phendimetrazine
A
The nurse observes another nurse taking oral opioids from the medication room at the hospital. Which is the best action for the nurse who observes drug diversion to take? a. Report the findings to the nurse supervisor to enable the nurse's participation in a monodisciplinary program b. Ignore the situation to protect the nurse from dismissal and possible loss of licensure c. Confront the nurse and demand that the drugs be returned before someone notices their absence d. Ask the nurse to request pain medications from a physician rather than stealing them from the hospital
A
When a patient has a cholinergic overdose from excessive dosing of bethanechol. the nurse anticipates administration of which drug as the antidote? a. Atropine b. Tolterodine c. Benztropine d. Metoclopramide
A
When benztropine is ordered for a patient, the nurse acknowledges that this drug is an effective treatment for which condition? a. Parkinsonism b. Paralytic ileus c. Motion sickness d. Urinary retention
A
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion?(select all that apply) a. Lorazepam b. Diazepam c. Disulfiram d. Naltrexone e. Acamprosate
A, B
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism?(select all that apply) a. Concurrent administration of buspirone b. Administration of a different SSRI c. Use of a mouth guard d. Changing to a different class of antidepressant medication e. Increasing the dose of paroxetine
A, C, D
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 manifestations as an adverse effect of this medication?(select all that apply) a. Dry mouth b. Nonproductive cough c. Skin rash d. Drowsiness e. Urinary hesitation
A, D, E
A patient is admitted to the emergency department with status epilepticus. Which drug should the nurse most likely prepare to administer to this patient?(select all that apply) a. Diazepam b. Midazolam c. Gabapentin d. Levetiracetam e. Topiramate
A,B
A patient is prescribed metoprolol to treat hypertension. It is important for the nurse to monitor the patient for which condition?(select all that apply) a. Bradycardia b. Hypotension c. Diaphoresis d. Agitation e. Erythema
A,B
A nurse is caring for a client for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? (select all that apply) a. Mydriasis b. Dizziness c. Decreased libido d. Alopecia e. Hypotension
A,B,C
A patient is taking rivastigmine to improve cognitive function. What should the nurse teach the patient/family member to do?(select all that apply) a. Rise slowly to avoid dizziness that may cause injury b. Remove obstacles from pathways to avoid injury c. Closely follow the medication dosing schedule d. Have daily blood pressure checks for hypertension e. Receive a monthly glucose panel
A,B,C
A patient is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect. (select all that apply) a. Propofol to reduce anxiety b. Lidocaine to provide local anesthesia c. Midazolam to promote sedation and following of commands d. Ketamine for rapid induction and prolonged duration of action e. Phenobarbital for short-acting duration of sleep e. Fentanyl for pain control f. Intravenous bupivacaine for prolonged analgesia
A,B,C
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 e. Constipation
A,B,C,D
When a patient is taking an antidepressant, what should the nurse do?(select all that apply) a. Monitor the patient for suicidal tendencies b. Observe the patient for orthostatic hypotension c. Teach the patient to take the drug with food if gastrointestinal distress occurs d. Tell the patient that the drug may not have full effectiveness for 1-2 weeks e. Advise the patient to maintain adequate fluid intake of 2L/Day
A,B,C,D
An atypical antipsychotic is prescribed for a patient with psychosis. The nurse understands that this category of medications includes which drugs?(select all that apply) a. Clozapine b. Fluphenazine c. Haloperidol d. Olanzapine e. Aripiprazole
A,B,C,D,E
What would the nurse teach a patient who is taking anticholinergic therapy for Parkinson disease?(select all that apply) a. Avoid alcohol and tobacco b. Relieve dry mouth with hard candy or ice chips c. Use sunglasses to reduce photophobia d. Urinate 2 hours after taking the drug e. Receive routine eye examinations
A,B,C,E
A patient is to start disulfiram to help with alcohol use disorder. The nurse providing medication education about the drug will include which topics in the education plan?(select all that apply) a. Importance of taking the medication every day b. That better results are experienced when a support group helps with treatment adherence c. Common food and hygiene products that contain alcohol d. That disulfiram treatment should be stopped by 1 day before alcohol consumption e. That disulfiram works by disrupting the metabolism of alcohol f. That use of alcohol with disulfiram may cause nausea and vomiting and may even be fatal
A,B,C,E,F
A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?(select all that apply) a. Disorganized speech b. Bizarre behavior c. Impaired social interactions d. Hallucinations e. Decreased motivation
A,B,D
The nurse will monitor the patient taking albuterol for which conditions?(select all that apply) a. Palpitations b. hypertension c. Hypoglycemia d. Bronchospasm e. Uterine contractions f. Hypotension g. Blurred vision
A,B,D
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. Bronchospasm d. Nausea e. Muscle weakness
A,B,D,E
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions 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. Avoid crushing the tablet d. Take the drug at bedtime to prevent daytime drowsiness e. Increase fiber and fluid intake
A,B,D,E
A patient taking cyclobenzaprine might experience which of the following anticholinergic side effects? (select all that apply) a. Blurred vision b. Dry mouth c. Salivation d. Constipation e. Urinary retention
A,B,D,E
A patient is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)?(select all that apply) a. Observe the patient for motor tremors b. Monitor the patient for hypotension c. Draw lithium blood levels immediately after a dose d. Advise the patient to drink 750mL/day of fluid in hot weather e. Advise the patient to avoid caffeinated food and beverages f. Teach the patient to take lithium with meals to decrease gastric irritation
A,B,E,F
The nurse realizes that some complementary and alternative therapies interact with selective serotonin reuptake inhibitors. Which cpomplementary and alternative therapy interactions may cause serotonin syndrome?(Select all that apply) a. Feverfew b. Ma huang c. St. John's wort d. Ginkgo biloba
A,C
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (select all that apply) a. Thrombocyte count b. Glucose c. Amylase d. Liver function tests e. Potassium
A,C,D
Which instructions will the nurse include in the teaching plan for a patient who is taking pyridostigmine?(select all that apply) a. Pyridostigmine must always be taken on time b. Take the prescribed dose every other week c. Under-dosing can result in myasthenic crisis d. Overdosing can result in cholinergic crisis e. Report the adverse effect of tachycardia to the health care provider (HCP)
A,C,D
A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching?(select all that apply) a. An adverse effect of this medication is CNS stimulation b. Administer the medication before bedtime c. Monitor blood pressure while taking this medication d. Therapeutic effects of this medication will take 1-3 weeks to fully develop e. This medication raises the levels of dopamine in the brain
A,C,E
A patient appears to have had an overdose of phenothiazines. The nurse anticipates that which intervention(s) may be used to treat phenothiazine overdose?(select all that apply) a. Gastric lavage b. Adequate hydration c. Maintaining an airway d. Fluphenazine e. Risperidone f. Activated charcoal administration
A.B,C,F
A nurse is assessing a client who recently began taking haloperidol. which of the following findings is the priority to report to the provider? a. Shuffling gait b. Neck spasms c. Drowsiness d. Sexual dysfunction
B
A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? a. Severe hypertension b. Coarse tremors c. Constipation d. Muscle spasms
B
A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? a. Sedation b. Nasal congestion c. Productive cough d. Constipation
B
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? a. Bruising b. Fever c. Tinnitus d. Rash
B
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication? a. BUN level b. Blood pressure c. Urine specific gravity d. Pedal pulse strength
B
A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? a. Kidney toxicity b. Liver damage c. Seizure activity d. Adrenal insufficiency
B
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in teaching? a. Take the albuterol at the same time each day b. Administer the albuterol inhaler prior to using the beclomethasone inhaler c. Use beclomethasone if experiencing an acute episode d. Avoid shaking the beclomethasone before use
B
A nurse is providing instructions to 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
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods based of an increased risk for which of the following adverse reactions? a. Respiratory depression b. Hypertensive crisis c. Neuroleptic malignant syndrome d. Serotonin syndrome
B
A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include? a. "Add extra snacks to your diet to prevent weight loss" b. "Notify the provider if you have trouble sleeping" c. "You may begin to have mild seizures while taking this medication" d. "This medication is likely to increase your libido"
B
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. "weigh yourself twice a month" b. "If you have persistent headaches, let the provider know" c. "Reduce your daily sodium intake" d. "If your symptoms don't improve in 10 days, you will need a higher dosage"
B
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 hours while I am awake" b. "It can take as long as 3 weeks before the medication takes 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
A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? a. Diarrhea b. Dry mouth c. Insomnia d. Hypertension
B
A nurse is teaching a patient about zolpidem. Which is important for the nurse to include in the teaching of this drug? a. The maximum dose is 20 mg/day b. It is used for short-term treatment less than 10 days c. For older adults, the dose is 15 mg at bedtime d. The drug should only be used for 21 days or less e. The drug may cause increased salivation f. The drug may cause excitation
B
A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? a. Apply one patch twice per day b. Leave the patch on for 9hr c. Apply the patch to the child's waist d. Use opened tray within 6 months
B
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? a. "Expect this medication to suppress your child's cough" b. "Expect this medication to smell like rotten eggs" c. "Expect this medication to cause euphoria" d. "Expect this medication to turn your child's urine orange"
B
A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is a priority to report to the provider? a. Constipation b. Suicidal thoughts c. Photophobia d. Dry mouth
B
A nurse is working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? a. Administer flumazenil b. Identify the client's level of orientation c. Infuse IV fluids d. Prepare the client for gastric lavage
B
A patient has been prescribed guaifenesin. The nurse understands that the purpose of the drug is to accomplish what? a. Treat allergic rhinitis and prevent motion sickness b. Loosen bronchial secretions so coughing can eliminate them c. Complete with histamine for receptor sites, thus preventing a histamine response d. Stimulate alpha-adrenergic receptors, thus producing vascular constriction of capillaries in nasal mucosa
B
A patient is receiving bethanechol. The nurse realizes that the action of this drug is to treat which condition? a. Glaucoma b. Urinary retention c. Delayed gastric emptying d. Gastroesophageal reflux disease e. Gastroparesis f. Parkinsonism g. Myasthenia gravis
B
A patient is taking tranylcypromine sulfate for depression. What advice should the nurse include in the teaching plan for this medication? a. Warn the patient about weight loss b. Instruct the patient to avoid beer and cheddar cheese c. Encourage the patient to take ginseng and ephedra d. Encourage the patient to eat fruit such as bananas
B
A patient tells the nurse that he has started to take an over-the-counter antihistamine, diphenhydramine. In teaching about side effects, what is most important for the nurse to tell the patient? a. To avoid insomnia, do not take this drug at bedtime b. Avoid driving a motor vehicle until stabilized on the drug c. Nightmares and nervousness are more likely in an adult d. Medication may cause excessive secretions
B
A patient with chronic obstructive pulmonary disease has an acute bronchospasm. The nurse anticipates that the health care provider will prescribe which medication? a. Zafirlukast b. Epinephrine c. Dexamethason d. Beclomethasone
B
Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care? a. Report an abnormal phenytoin level of 18 mcg/mL b. Monitor complete blood count levels for early detection of blood dyscrasias c. Encourage the patient to brush their teeth vigorously to prevent plaque buildup d. Teach the patient to stop the drug immediately when passing pinkish-red or reddish-brown urine
B
The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multiple sclerosis? a. The disease has periods of exacerbations followed by periods of remission b. Goals of treatment are to decrease the inflammation in the nervous system c. Patients experience muscle weakness, fatigue, and vision and emotional problems d. Multiple sclerosis is an autoimmune disorder that causes plaque to develop
B
The nurse realizes that cholinergic agonists mimic which parasympathetic neurotransmitter? a. Dopamine b. Acetylcholine c. Cholinesterase d. Monoamine oxidase
B
The nurse should monitor the patient receiving phenytoin for which adverse effect? a. Psychosis b. Nosebleeds c. Hypertension d. Gum erosion
B
The nurse suspects that a patient who is experiencing facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face may have? a. Akathisia b. Acute dystonia c. Tardive dyskinesia d. Pseudoparkinsonism
B
What is the nurse's best explanation of the pathophysiology of myasthenia gravis? a. Degeneration of cholinergic neurons and a deficit in acetylcholine lead to neuritic plaques and neurofibrillary tangles b. A decreased amount of acetylcholine to cholinergic receptors produces weak muscles and reduced nerve impulses c. Myelin sheath of nerve fibers in the brain and spinal cord develop lesions or plaque affecting the nervous system d. An imbalance of dopamine and acetylcholine leads to degeneration of neurons in midbrain and extrapyramidal motor tracts
B
Which is a Take Action [Nursing Intervention] for a patient taking carbidopa-levodopa for Parkinson disease? a. Encourage the patient to adhere to high-protein high sodium diet b. Inform the patient that perspiration may be dark and may stain clothing c. Advise the patient that glucose levels should be checked with urine testing d. Warn the patient that it may take 4-5 days before symptoms are controlled
B
The nurse is administering atenolol to a patient. Which concurrent drugs does the nurse expect to most likely cause an interaction?(select all that apply) a. Ginseng b. Insulin c. Atropine d. Haloperidol e. Methyldopa
B,C
Which of the following assessment findings would the nurse see in a patient with Parkinson disease?(select all that apply) a. Abrupt onset of symptoms b. Muscle rigidity c. Involuntary tremors d. Bradykinesia e. Bilateral muscle weakness
B,C,D
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? a. "This medication can safely be taken during pregnancy" b. "Eliminate grapefruit juice from your diet" c. "You will need to have a complete blood count and carbamazepine levels drawn periodically" d. "Notify your provider if you develop a rash" e. "Avoid driving for the first few days after starting this medication"
B,C,D,E
A patient is beginning to take cyclobenzaprine for treatment of acute back spasms. Which intervention will the nurse include in the care of this patient?(select all that apply) a. Advise the patient to always take this drug on an empty stomach b. Inform the patient not to abruptly stop taking the muscle relaxant c. Tell the patient to report dizziness and double vision to the health care provider(HCP) d. Advise the patient to avoid consuming alcohol beverages e. Taking narcotics at the same time can cause serious side effects
B,C,D,E
A patient is receiving aripiprazole. Which nursing intervention(s) will the nurse include in the patient's care plan?(select all that apply) a. Administer before meals on an empty stomach to facilitate absorption b. Remain with the patient until medication is swallowed c. Monitor vital signs to detect orthostatic hypotension d. Assess the patient for evidence of neuroleptic malignant syndrome e. Observe the patient for acute dystonia, akathisia, and tardive dyskinesia
B,C,D,E
A patient who is taking epinephrine is also taking several other medications. The nurse should realize that there is a possible drug interaction with which drugs?(select all that apply) a. Albuterol b. Metoprolol c. Propranolol d. Digoxin e. Methyldopa
B,C,D,E
The nurse is teaching a patient about diphenhydramine. Which instructions should the nurse include in the patient's teaching plan?(select all that apply) a. Take the medication on an empty stomach to facilitate absorption b. Avoid alcohol and other central nervous system depressants c. Notify a health care provider if confusion or hypotension occurs d. Use sugarless candy, gum, or ice chips for temporary relief of dry mouth e. Avoid handling dangerous equipment or preforming dangerous activities until stabilized on the medication
B,C,D,E
Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity?(select all that apply) a. Naloxone b. Thiamine c. Intravenous fluids d. Naltrexone e. Intravenous glucose solution f. Flumazenil
B,C,E
Fluticasone propionate and salmeterol combination inhalation is ordered for patient with chronic obstructive pulmonary disease. What does the nurse know about this medication?(select all that apply) a. It can be used to treat an acute attack b. It is delivered as a dry-powder inhaler c. It contains a beta 1 agonist and cromolyn d. It is taken as one puff two times a day e. It promotes bronchodilation
B,D,E
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?(select all that apply) a. Motion sickness b. Seasonal affective disorder c. Insomnia d. Nicotine addiction e. Depression
B,D,E
A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? a. Alprazolam b. Phenytoin c. Phenelzine d. Pilocarpine
C
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? a. Increases the risk for seizure activity b. Provides a form of aversion therapy c. Decreases cravings d. Can increase blood pressure
C
A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? a. Venlafaxine b. Bupropion c. Imipramine d. Valproic acid
C
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? a. Consume a low-sodium diet b. Reduce fluid intake c. Avoid taking NSAIDs d. Take the drug with food
C
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor which of the following manifestations as an adverse effect of this medication? a. Diarrhea b. Anxiety c. Sedation d. Palpitations
C
A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicated understanding of the teaching? a. "I should take the medication on an empty stomach" b. "I will follow a low-sodium diet while taking this medication" c. "I need to discontinue this medication slowly" d. "I should not crush this medication before swallowing"
C
A patient complains of a sore throat and has been told it is due to beta-hemolytic streptococcal infection. The nurse anticipates that the patient has which acute condition? a. Rhinitus b. Sinusitis c. Pharyngitis d. Rhinorrhea
C
A patient is prescribed aminophylline-theophylline. For what adverse effects should the nurse monitor the patient? a. Drowsiness b. Hypoglycemia c. Increased heart rate d. Decreased white blood cell count
C
A patient is receiving intravenous aminophylline. The nurse checks the patient's laboratory values and sees the serum theophylline level is 32 mcg/mL. What action should the nurse take? a. Assess the patient's breath sounds for improvement b. Increase the dosage per sliding scale directions c. Notify the health care provider of the level d. Have the laboratory collect another sample to verify the results
C
A patient is taking rivastigmine. The nurse should teach the patient and family which information about rivastigmine? a. Hepatotoxicity and jaundice are side effects b. The initial dose is 6 mg three times a day c. Gastrointestinal distress is a common side effect d. Increased appetite and weight gain is a side effect
C
A patient received spinal anesthesia. Which is the most important for the nurse to monitor? a. Loss of consciousness b. Hangover effects and dependence c. Hypotension and headaches d. Excitement or delirium e. Venous dilation f. Increased respiratory rate
C
A patient taking lorazepam asks the nurse how this drug works. The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism? a. Depressing the central nervous system, leading to a loss of consciousness b. Depressing the central nervous system, including the motor and sensory activities c. Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to GABA receptor d. Creating an epidural block by placement of the local anesthetic into the epidural space e. Increasing melatonin, thus inducing sleep f. Increasing cortisol, allowing for natural sleep
C
A patient with multiple sclerosis is having muscle spasticity. The nurse anticipates which drug will be prescribed to treat the patient's spasticity? a. Neostigmine b. Ropinirole c. Cyclobenzaprine d. Pryridostigmine
C
Nadolol is prescribed for a patient. The nurse realizes that this drug is a beta-adrenergic blocker and is contraindicated for patients with which condition? a. Hypothyroidism b. Angina pectoris c. Bronchial asthma d. Liver dysfunction
C
The nurse is monitoring a patient who is taking phentermine. Which is important for the nurse to observe?(select all that apply) a. Euphoria b. Dry mouth c. Insomnia d. Hypotension e. Bradycardia f. Palpitations
C
The nurse monitoring a patient for methylphenidate withdrawal should observe the patient for which condition? a. Tremors b. Insomnia c. Weakness d. Tachycardia
C
The nurse realizes that beta1 receptor stimulation is differentiated from beta2 stimulation in that stimulation of beta1 receptors leads to which condition? a. Increased bronchodilation b. Decreased uterine contractility c. Increased myocardial contractility d. Decreased blood flow to skeletal muscles
C
The nurse teaches the patient receiving atropine to expect which side effect? a. Diarrhea b. Sweating c. Blurred vision d. Frequent urination
C
The nurse witnesses a patient's seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure? a. Myoclonic b. Absence c. Tonic-clonic d. Psychomotor
C
The patient was just prescribed cycobenzaprine for back spasms. The nurse is reviewing the patient's drug profile and plans to contact the HCP about which drug on the patient's daily profile? a. Atorvastatin b. Conjugated estrogen c. Valerian d. Penicillin G procaine
C
When administering phenytoin, the nurse realizes more teaching is needed if the patient makes which statement? a. "I must shake the oral suspension very well before pouring it in the dose cup" b. "I cannot drink alcoholic beverages when taking phenytoin" c. "I should take phenytoin 1 hour before meals" d. "I will need to get periodic dental checkups"
C
When caring for a patient recovering from an episode of opioid toxicity, the nurse determines that the patient has opioid use disorder based on which of the following? a. Withdrawal symptoms b. History of daily use c. Craving that results in drug-seeking behaviors d. Intravenous, rather than oral, use of the drug
C
A patient is having absence seizures. Which of the following does the nurse expect to be prescribed for this type of seizure?(select all that apply) a. Phenytoin b. Phenobarbital c. Valproic acid d. Clonazepam e. Ethosuximide
C,D,E
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching?(select all that apply) a. Expect therapeutic effects in 24-48 hrs b. Discontinue the medication after a week of improved mood c. Change positions slowly to minimize dizziness d. Decrease dietary fiber intake to control diarrhea e. Chew sugarless gum to prevent dry mouth
C,E
A nurse administering valproic acid to a patient checks the laboratory values and finds a serum range for valproic acid of 150 mcg/mL. What should the nurse do? a. Increase the daily dose to get the patient's level into the therapeutic range b. Hold the morning dose but give the other scheduled dosages for the day c. Ask the patient if he or she is having any adverse effects from the medication d. Hold the medication and notify the health care provider
D
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? a. Administer the clonidine on the prescribed schedule b. Provide ice chips at the client's bedside c. Educate the client on the effects of clonidine d. Obtain baseline vital signs
D
A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? a. Avoid the use of acetaminophen for headaches b. Restrict intake of foods rich in sodium c. Decrease fluid intake to less than 1,500 mL daily d. Limit aerobic activity in hot weather
D
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. Ischemic stroke b. Drowsiness c. Respiratory depression d. Seizure activity
D
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. "You should have a high-carbohydrate snack between meals and at bedtime" b. You are likely to develop hand tremors if you take this medication for a long period of time" c. "You may experience temporary numbness of your mouth after each dose" d. "You should have your white blood cell count monitored every week"
D
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? a. Constricted pupils b. Discoloration of the iris c. Hypertension d. Bradycardia
D
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? a. "Take this medication on an empty stomach" b. "Expect optimal therapeutic effects within 24 hr" c. "Take this medication when needed for anxiety" d. "This medication has a low risk for dependency"
D
A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? a. "It is not a big deal if I forget my pills for a couple of days" b. "I should limit alcohol intake to one drink daily while taking this medication" c. "I will avoid salt because this medication can increase my blood pressure" d. "If I become pregnant, it is important to let my health care provider know"
D
A patient is admitted with bipolar affective disorder. The nurse acknowledges which medication as one used to treat this disorder for some patients in place of lithium? a. Thiopental b. Ginkgo biloba c. Fluvoxamine d. Divalproex
D
A patient is given epinephrine, an adrenergic agonist (sympathomimetic). The nurse should monitor the patient for which condition? a. Decreased pulse b. Pupil constriction c. Bronchial constriction d. Increased blood pressure
D
A patient is prescribed a decongestant nasal spray that contains oxymetazoline. What will the nurse teach the patient? a. Take this drug at bedtime because it may cause drowsiness b. Directly spray the medication away from the nasal septum and gently sniff c. This drug may be used in maintenance treatment for asthma d. Limit use of the drug to 3 days to prevent rebound nasal congestion
D
A patient is receiving carbidopa-levodopa for Parkinson disease. What is the most important for the nurse know about this drug? a. Carbidopa-levodopa may lead to bronchitis b. Carbidopa-levodopa may lead to increased salivation c. Dopaminergic may lead to drowsiness d. Dopaminergic are contraindicated in glaucoma
D
A patient is taking ramelteon for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/adverse reactions of this drug. Which is a side effect of ramelteon? a. Insomnia b. Bradycardia c. Laryngospasm d. Sleep-related behaviors e. Increased salivation f. Pupillary constriction
D
An antipsychotic agent, fluphenazine, is ordered for a patient with psychosis. The nurse understands that this agent can lead to symptoms of extrapyramidal syndrome (EPS). What are the symptoms of EPS? a. Hypertension b. Nausea and vomiting c. Hyperthermia and dyshythmias d. Tremors, rigidity, and shuffling gait
D
Beclomethasone has been prescribed for a patient with allergic rhinitis. What should the nurse teach the patient regarding this medication? a. This may be used for an acute attack b. An oral form is available if the patient prefers to use it c. Avoid large amounts of caffeine intake because an increased heart rate may occur d. With continuous use, dryness of the nasal mucosa/lining may occur
D
Dicyclomine is an anticholinergic, which the nurse realizes is given to treat which condition? a. Mydriasis b. Constipation c. Urinary retention d. Irritable bowel syndrome
D
Several children are admitted for diagnosis with possible attention-deficit/hyperactivity disorder. Which is most important for the nurse to observe? a. A girl who is lethargic b. A girl who lacks impulsivity c. A boy with smooth coordination d. A boy with an inability to complete tasks
D
The nurse anticipates that the health care provider will prescribe which medication to treat a patient with relapsing-remitting multiple sclerosis? a. Ambenonium b. Pyridostigmine c. Mitoxantrone d. Glatiramer acetate
D
The nurse has initiated teaching for a family member of a patient with Alzheimer disease. The nurse realizes more teaching is needed when the family member makes with of the following statements? a. As the disease progresses, the memory loss will get worse b. There are several theories about the cause of the disease c. Personality changes, wandering, and hostility may occur d. It may take several medications over time to cure the disease
D
The nurse is administering bethanechol, a cholinergic agonist, and should know that the expected cholinergic effects include3 which of the following? a. Increased heart rate b. Decreased peristalsis c. Decreased salivation d. Increased pupil constriction
D
The patient is taking triazolam. Which instructions about this drug are important for the nurse to include? a. It may be used as a barbiturate for only 4 weeks b. Use as a nonbenzodiazepine to reduce anxiety c. It may cause agranulocytosis and thrombocytopenia d. Avoid alcohol and smoking while taking this drug e. It is an ultra-short-acting medication f. Long-term use is encouraged
D
When a 12-year old child is prescribed methylphenidate, which is most important for the nurse to monitor? a. Temperature b. Respirations c. Intake and output d. Height and weight
D
Which statement is true concerning lithium? a. The maximum dose is 3.4 g/day b. The therapeutic drug range is 2.5 to 3.5 mEq/L c. Lithium increases receptor sensitivity to gamma-aminobutyric acid d. Concurrent non-steroidal anti-inflammatory drugs (NSAIDs) may increase lithium levels
D
