Pharm Exam 3

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution(PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

"Abdominal bloating might occur"

A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. Which of the following assessment questions should be the nurse's priority?

"How long have you been taking the bisacodyl?"

A nurse is teaching a client who has a new prescription for cimetidine to treat PUD. Which of the following statements by the client indicated an understanding of the teaching? (Select all that apply)

"I will eat five small meals each day." "I can take this medication with or without food."

nurse performing discharge teaching to pt who has seizures and a new prescription for phenytoin. which statement by pt indicated a need for further teaching

"I'll be glad when i can stop taking this medicine"

nurse teaching pt who has prescription for fluoxetine to treat depression. which statement by pt indicated understanding of teaching

"I'll take this medication first thing in morning"

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

"It might take up to 3 days for the medication to work."

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

"Take the medication with a full glass of water"

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. WHich of the following information should the nurse provide?

Alcohol increases the chance of phenytoin toxicity

nurse is providing dietary teaching for a client who has a prescription for a MAOI. when the client develops a sample lunch menu, which of the following items requires intervention by the nurse?

Bologna sandwich

A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?

Constipation

A nurse is completing a medication history for a client who reports using OTC calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

Drink a glass of water after taking the medication

nurse providing teaching to pt who has breast cancer about the adverse effects of chemo. which client statement indicated an understanding of the teaching

I'll call my doctor if i notice any unusual menstraul bleeding

A nurse is providing teaching to a client who has a new diagnosis of Parkinsons. On which of the following medications should the nruse prepare to instruct the client?

Levodopa/Carbidopa

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicated a therapeutic effect of this medication?

Relief of gastrointestinal pain

A nurse is taking a health history of a client who reports occasionally taking several OTC medications, including an H2 receptor antagonist. Which of the following indicated the H2RA is therapeutic?

Relief of heartburn

A nurse is assessing a client who has schizophrenia and has been on long term treatment with chlorpromazine. He notes the lcient is experiencing some involuntary movements of the tongue and face. The nurse should suspect the vlient has developed which of the following adverse effects?

Tardive Dyskinesia

A nurse is caring for a client who has a fractured ulna and a new prescription for cyclobenzaprine. Before administering, which of the following explanations should the nurse provide to explain the purpose of the medication?

The medication will relieve muscle spasms that might occur with a fracture

A nurse is teaching a client who has a new prescription for cyclobenzaprine. WHich of the following information should the nurse include in the teaching?q

avoid driving until effects are known

nurse in clinic is assessing pt who has cancer and a prescription for methotrexate PO. which action should the nurse take when the pt reports bleeding gums

check the value of the pts current platelet count

client with non-hodkins lymphoma is recieving danorubicin. which finding would indicate to the nurse that the client is experiencing an adverse effect related to the med

crackles on auscultation of the lungs

nurse teaching pt who has new prescription for diazepam. which information should nurse include in teaching

diazepam can cause drowsiness

nurse in mental health clinic is caring for pt with BPD and prescription for antipsychotic med. providser and nursing staff suspect pt is not adhering to medication therapy. which interventions should the staff use to encourage the pts adherence? (Select all that apply)

engage the client in converstation following the medication administration use a sustained-release form provide for once-daily dosing

nurse on oncology unit is preparing to administer doxorubicin to a client who has breast cancer. prior to beginning infusion, nurse verifies pts current cumulative lifetime doses of the medication. for which reason is this verification necessary

excess amount of doxorubicin can lead to cardiomyopathy

nurse is caring for pt who has chronic renal disease and is recieving therapy with epoetin alfa. which lab result should the nurse review for an indication of therapeutic effect of this med

hematocrit

nurse caring for pt who is experiencing sever N/V after a course of chemo. the nurse should monitor the pt for which clinical manifestation

metabolic alkalosis

a nurse is providing discharge teaching to a client who has a new prescirption for lithium. which of the following information should the nurse include in the teaching?

obtain a daily weight

nurse is reviewing history and physical of a pt who will recieve asparaginase, an antineoplastic agent. the nurse contacts the PCP before administering the med if which disorder is documented in the clients history

pancreatitis

client with ovarian cancer is being treated with vincristine. the nurse monitors the client, knowing which manifestation indicates an adverse effect specific to this med

peripheral neuropathy

nurse is monitoring lab results of a pt recieving antineoplatic med by IV. the nurse pplans to initiate bleeding precautions if which lab result is noted

platelet count of 50,000

nurse is teaching a client who has a new prescription for lithium to treat BPD. the nurse should instruct the pt to ensure an adequeate intake of whihc of the following dietary elements?

sodium

nurse is monitoring IV infusion of an antineoplastic med. during infusion, pt complains of pain at the insertion site. on inspection the nurse notes redness and swelling and that the infusion of the med has slowed in rate. the nurse suspects extravasation and should take which actions (select all that apply)

stop the infusion prepare to apply ice and heat to site notify the PCP Prepare to administer a prescribed antidote into the site

tamoxifen citrate is prescribed for a pt wiht metastatic breast carcinoma. the client asks the nurse if her family member with bladder cancer can also take this medication. the nurse most appropriately responds with which statement

this medication can be taken to prevent and treat clients with breast cancer

nurse prepares a teaching plan for a pt recieving an antineoplastic medication. when implementing the plan, the nurse should make which statement to the pt

you need to consult with your PHCP before recieving immunizations