Pharm exam (test 3 and 4)

a patient is admitted and an IV of 1,000ml of D5RL has been started. what initials identify the type of solution _______

D5RL

a nurse is caring for a client who has congestive heart failure and is taking digoxin daily. the client refused breakfast and is complaining of nausea and weakness. which of the following actions should the nurse take first?

a. check the client's vital signs

a nurse is caring for a client who is taking lisinopril. which of the following outcomes indicates a therapeutic effect of the medication?

a. decreased blood pressure

Monocytes are blood cells that mature (differentiate) into:

a. macrophages

a nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. for which of the following adverse effects should the nurse monitor when giving this medication?

b. hypotension

a nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. the client asks the nurse how long it will take for the heparin to dissolve the clot. which of the following responses should the nurse give?

c. "heparin does not dissolve clots. it stops new clots from forming"

is this an isotonic, hypertonic, or hypotonic solution________

isotonic

a nurse is assessing a client who is receiving a continuous IV infusion of dopamine. which of the following findings should the nurse recognize as a therapeutic effect?

b. increased urine output

Which mother-fetus combination is at most risk for a maternal-fetal blood incompatibility?

b. mother is Rh-negative, fetus is Rh positive

a nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin

b. prothrombin time (PT)

a nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. which of the following instructions should the nurse include?

c. "increase your daily intake of dietary fiber"

a nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. the provider prescribes warfarin PO without discontinuing the heparin. the client asks the nurse why both anticoagulants are necessary. which of the following statements should the nurse make?

a. "warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level"

a patient with renal failure is undergoing chronic hemodialysis. the patient's hemoglobin is 10.6 gm/dL. the provider orders sodium-ferric gluconate complex (SFGC(ferrlecit)). what will the nurse expect to do?

a. administer the drug IV with erythropoietin

a prescriber has ordered filgrastim (granulocyte colony-stimulating factor) for a patient undergoing myelosuppressive chemotherapy. the nurse will prepare the patient for which potential side effect?

a. bone pain

a nurse is reviewing a patient's most recent blood count and notes that the patient has a hemoglobin of 9.6 gm/dL and a hematocrit of 33%. the nurse ill notify the provider and will expect initial treatment to include:

a. determining the cause of the anemia

a nurse is providing teaching to a client who has hypertension and a new prescription for captopril. which of the following instructions should the nurse provide?

a. do not use salt substitutes while taking this medication

a nurse on a medical unit is planning care for an older adult client who takes several medications. which of the following prescribed medications places the client at risk for orthostatic hypotension? (select all that apply)

a. furosemide b. telmisartan c. duloxetine

while checking lab results, the nurse remembers that the normal leukocyte count is:

b. 5,000-10,000 per cubic millimeter

a nursing student asks a nurse why patients with chronic renal failure (CRF) have low erythrocyte counts. which response by the nurse is correct

c. erythropoietin is no longer produced by cells in the kidneys

a nurse is preparing to administer heparin to a client. which of the following actions should the nurse plan to take?

c. inject the medication into the abdomen above the level of the iliac crest

a nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. the client reports relief from the chest pain but now he is experiencing a headache. which of the following statements should the nurse make?

b. "A headache is an expected adverse effect of the medication"

a client is teaching a client who has a new prescription for hydrochlorothiazide (HCTZ) for management of hypertension. which of the following instructions should the nurse include?

b. "monitor for leg cramps"

a nurse is teaching a client who has a new prescription for clopidogrel. which of the following instructions should the nurse include

b. "you might have to stop taking this medication 5 days before any planned surgeries"

a nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. which of the following instructions should the nurse include in the teaching?

b. apply the transdermal patch in the morning

a nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. which of the following instructions should the nurse include

b. eat foods that contain plenty of potassium

a 60-year-old patient diagnosed with emphysema experiences a rapid and pounding heart, dizziness, and fatigue with exertion. which respiratory assessment indicate the respiratory system is compensating for the increased oxygen demand?

b. increased rate and depth of breathing

a nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. which of the following medications should the nurse have available to reverse heparin's effect?

b. protamine sulfate

a patient with epistaxis and a history of hemophilia A is admitted to the unit and is scheduled for replacement therapy. the nurse should prepare to administer which medication?

d. factor VIII

a nurse is providing instructions to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. the nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia

d. spironolactone

sickle cells are removed from circulation mostly by the

d. spleen

a nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. which of the following instructions should the nurse include?

d. swallow the capsules whole

a nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

c. the nurse should not expel the air bubble in the prefilled syringe

a nurse is providing teaching to a client who has a new prescription for lisinopril. which of the following statements by the nurse indicates an understanding of the teaching?

d. "I should report a cough to my provider"

the nurse is conducting a nursing education class on hemophilia. the nurse correctly states that which characteristics are most likely to be seen in a patient with hemophilia? (select all that apply)

a. male gender c. mother is a carrier d. all race and ethnicities are susceptible

a nurse is teaching a client who has a new prescription for captopril. which of the following instructions should the nurse include in the teaching?

a. monitor for a cough

a patient is receiving oral iron for iron deficiency anemia. which antibiotic drug, taken concurrently with iron, would most concern the nurse?

a. tetracycline

a nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. which of the following statements by the client indicates an understanding of the teaching?

b. "with the new medication, I should experience fexer side effects"

a nurse is teaching a client who has a new prescription for simvastatin. which of the following instructions should the nurse include?

b. "you should avoid grapefruit juice"

a 40-year-old male's history includes being a vegetarian and abusing alcohol. which of the following factors put him at greater risk for developing folate deficiency anemia?

b. being alcoholic

a nurse is caring for a patient after hip replacement surgery. the patient has been receiving iron replacement therapy for 2 days. the nurse notes that the patient's stool appear black. the patient is pale and complains of feeling tired. the patient's heart rate is 98 beats/min, respiratory are 20 breaths per minute, and the blood pressure is 100/50. the nurse will contact the provider to:

b. request a hemoglobin and hematocrit (H&H)

a nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

b. the client has a history of bronchial asthma

a nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

b. use an electric razor while on this medication

a patient who is receiving a factor VIII concentrate to treat hemophilia A develops hives, a low-grade temperature elevation, and a stuffy nose. the nurse will prepare to:

c. give oral diphenhydramine

a nurse is caring for a client who has atrial fibrillation and receives digoxin daily. before administering this medication, which of the following actions should the nurse take?

c. measure the client's apical pulse

a nurse is caring for a client who has a new prescription for propranolol. the nurse should monitor the client for which of the following adverse reactions to this medication?

c. postural hypotension

a nurse is caring for a client who is receiving heparin by continuous IV infusion. which of the following medications should the nurse plan to administer in the event of an overdose?

c. protamine