Pharm. - (Online Quizzes)
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the following statements by the client indicates a need for further teaching? "I should increase the amount of fiber in my diet since the medication causes constipation." "I should eliminate grapefruit juice from my diet while taking verapamil." "I should decrease the amount of calcium in my diet while taking the medication." "I should take the medication with food if it causes an upset stomach."
"I should decrease the amount of calcium in my diet while taking the medication."
A nurse is reinforcing teaching to a client prescribed tetracycline (Sumycin) to treat a gastrointestinal infection. Which of the following statements by the client indicates a need for further teaching? "I will be sure to wear long sleeves when out in the sun." "I will take the medication with a full glass of milk." "I will finish all the medicine even if I am feeling better." "I will take the medication first thing in the morning."
"I will take the medication with a full glass of milk."
A nurse is reinforcing teaching for a client who has hypertension and is prescribed hydrochlorothiazide (HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client's teaching? "You should avoid foods high in potassium." "Take the second dose of the day by early afternoon." "Watch for ankle swelling that may appear late in the evening." "Limit your daily fluid intake to 1½ L."
"Take the second dose of the day by early afternoon."
A nurse is caring for a client who has been taking clonidine (Catapres) for 1 week to treat hypertension. The client relates that she may stop taking the medication because it makes her mouth dry. What does the client need to know about this adverse effect? "The dry mouth will improve after 2-4 weeks." "Go ahead and stop the Clonidine." "Call your physician and see what he says." "Unfortortunately, you have to live with your dry mouth."
"The dry mouth will improve after 2-4 weeks."
A nurse is caring for a client who has been taking oral baclofen (Lioresal) three times daily for the past 8 months. The client says to the nurse, "I've been having problems with constipation, so I'm just going to stop taking this medication." What should be the nurse's response? Why? "It's your right to stop your medication." "You should increase your activity." "You need to talk with your health care provider. There can be serious withdrawal problems" 'You should start to use a laxative."
"You need to talk with your health care provider. There can be serious withdrawal problems"
A client who has an Hgb of 9 g/dL was started on iron therapy with oral ferrous sulfate (Feosol). Following 1 month of therapy, what should the nurse expect the client's Hgb level to be? 9.5 g/dL 10 g/dL 10.5 g/dL 11 g/dL
11 g/dL
A nurse is caring for a client who will receive gentamicin (Garamycin) intermittent IV bolus at noon. The infusion will take 30 min. When should the nurse plan to have a peak level of gentamicin drawn by the laboratory? 12:30 p.m. 1:00 p.m. 2:30 p.m. 3:00 p.m.
1:00 p.m.
A nurse is reinforcing teaching to a client who is HIV-positive and has a new prescription for efavirenz (Sustiva), an NNRTI medication. Which of the following adverse effects should the nurse teach the client to watch for? A rash, which may begin within 2 weeks Orthostatic hypotension, which may occur following the first dose Hair loss, which may start after 2 to 3 days Ankle edema, which may occur after several months of therapy
A rash, which may begin within 2 weeks
A nurse is caring for a group of clients in a community setting. Which of the following clients should the nurse recognize may benefit from folic acid therapy? Select all that apply A 12-year-old child who has iron-deficiency anemia A 24-year-old woman who has no health problems A 44-year-old man who has essential hypertension A 50-year-old woman who has chronic alcohol abuse A 55-year-old man who has type 2 diabetes mellitus
A 24-year-old woman who has no health problems A 50-year-old woman who has chronic alcohol abuse
A nurse is caring for a toddler who was just admitted for an acetaminophen overdose. Which of the following medications should the nurse anticipate being administered to this client? Acetylcysteine (Mucomyst) Pegfilgrastim (Neulasta) Misoprostol (Cytotec) Naltrexone (ReVia)
Acetylcysteine (Mucomyst)
A nurse is caring for a client with severe pain whose prescription for morphine IV bolus has been changed to transdermal fentanyl (Duragesic). The nurse should understand which of the following information when administering a fentanyl transdermal patch? Apply a hot pack to the area containing the patch to enhance therapeutic effect. Administer a short-term opioid for pain for the first 24 hr after patch Have the client replace the patch daily. Remove the patch for immediate relief of the respiratory depression and do not give any
Administer a short-term opioid for pain for the first 24 hr after patch
A nurse is preparing to administer heparin 5,000 units subcutaneously to a surgical client. Which of the following steps should the nurse take when administering the medication? Select all that apply Draw up the heparin with a 28 gauge, 3/8 inch needle. Administer the heparin with a 26 gauge,1/2 inch needle. Administer the heparin in the client's abdomen at least 2 inches from the umbilicus Aspirate for blood after inserting the syringe into the client's tissue. Hold gentle pressure at injection site for 1 to 2 min after administering
Administer the heparin with a 26 gauge,1/2 inch needle. Administer the heparin in the client's abdomen at least 2 inches from the umbilicus Hold gentle pressure at injection site for 1 to 2 min after administering
A client taking hydrocortisone for adrenocortical insufficiency (Addison's disease) is admitted to the hospital for a total hip arthroplasty. Which of the following actions is the highest priority? Administration of supplemental doses of hydrocortisone Instruction on coughing and deep breathing Insertion of an indwelling urinary catheter Requesting a referral for physical therapy
Administration of supplemental doses of hydrocortisone
A nurse is caring for a group of clients. The nurse understands that prophylactic use of antibiotics is indicated for which of the following clients? Select all that apply An older adult client who has recovered from several episodes of severe pneumonia. An adult client who is undergoing total hip replacement surgery today. A young adult client who was exposed to gonorrhea last night. A school-age child who will be having his tonsils and adenoids removed tomorrow. A toddler who just completed treatment for the most recent of multiple ear infections.
An adult client who is undergoing total hip replacement surgery today. A young adult client who was exposed to gonorrhea last night.
A nurse is caring for a client in an urgent care clinic who has pneumonia. The client is prescribed ampicillin (Principen). Two days later the client calls the clinic and reports to the nurse that she isexperiencing an itchy rash. Which of the following actions should the nurse take first? Collect data about previous allergic reactions. Ask the client to describe her symptoms. Tell the client not to take the next dose of antibiotic. Have the client come to the clinic to see her provider.
Ask the client to describe her symptoms.
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions? Asthma Diabetes Angina Dementia
Asthma
A nurse is providing teaching to a client who is to start colchicine (Colgout) for acute gouty arthritis. The nurse should advise the client to do which of the following? Select all that apply Decrease fluid intake. Avoid alcohol use. Take the medication on an empty stomach to increase absorption. Notify the provider of sore throat, fever, or bruising. Avoid aspirin or products containing salicylates.
Avoid alcohol use Notify the provider of sore throat, fever, or bruising. Avoid aspirin or products containing salicylates.
A nurse is reinforcing teaching for a client with a prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following precautions should the nurse reinforce to the client in order to minimize an adverse effect of the medication? Avoid prolonged sun exposure. Sip water or suck hard candy frequently. Stop taking the medication if ringing in the ears occurs. Increase the amount of fiber and liquids in the diet.
Avoid prolonged sun exposure.
A nurse is caring for a client with a prescription for erythromycin (E-Mycin) to treat a urethral infection. The client also takes daily prescriptions for furosemide (Lasix) and warfarin (Coumadin). For which of the following manifestations of a drug interaction should the nurse monitor the client? Bradycardia Urinary retention Bleeding Hypernatremia
Bleeding
A nurse is monitoring a client who is receiving sargramostim (Leukine) following a bone marrow transplant. For which of the following adverse reactions should the nurse monitor the client? Constipation Bone pain Insomnia Hair loss
Bone pain
A nurse is caring for a client who has cancer and is receiving opioids along with prednisone (Deltasone) daily for pain control. While the client is taking prednisone, the nurse should plan to monitor the client for which of the following findings? Hypoglycemia GI bleeding Weight loss Asthma
GI bleeding
A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? Iron and protein Calcium and vitamin D Vitamin B12 and folic acid Vitamins E and K
Calcium and vitamin D
A nurse is reinforcing teaching for a client newly diagnosed who has type 2 diabetes mellitus. Which of the following should the nurse include in the teaching? Select all that apply Check blood glucose levels less frequently when feeling ill. Take an extra dose of the oral hypoglycemic agent the next day if a dose is missed. Carry a fast-acting glucose source at all times. Eat a snack prior to planned exercise. Inspect feet surfaces daily.
Carry a fast-acting glucose source at all times. Eat a snack prior to planned exercise. Inspect feet surfaces daily.
A nurse is caring for a group of clients who each have urinary tract infections. The nurse should know that trimethoprim-sulfamethoxazole is contraindicated in clients who have had a hypersensitivity reaction to which of the following medications? Digoxin (Lanoxin) Chlorothiazide (Diuril) Ranitidine (Zantac) Rosiglitazone (Avandia)
Chlorothiazide (Diuril)
Match each of the following cholesterol-lowering medications with its classification below: 1. Ezetimibe (Zetia) 2. Colesevelam HCL (Welchol) 3. Gemfibrozil (Lopid) 4. Atorvastatin (Lipitor) Medications: HMG COA reductase inhibitor (statin) Bile acid sequestrant Cholesterol absorption inhibitor Fibrate
Cholesterol absorption inhibitor = 1 Bile acid sequestrant = 2 Fibrate = 3 HMG COA reductase inhibitor (statin) = 4
A nurse is caring for a client who has migraine headaches and is planning to ask her provider for a prescription for ergotamine (Ergostat), which she heard is helpful for treating migraines. The nurse should be aware that ergotamine is contraindicated for clients who have which of the following conditions? Seizure disorders Angle closure glaucoma Coronary artery disease Peptic ulcer disease
Coronary artery disease
A nurse is reinforcing teaching for a client who is prescribed nitrofurantoin (Macrodantin) for a urinary tract infection. Which of the following points should the nurse include in theinstructions? Select all that apply The medication may cause the urine to be extremely pale yellow in color. Cough and dyspnea are signs of a hypersensitivity reaction to Nitrofurantoin should be taken 1 hr before or 2 hr after a meal. Notify the provider if nosebleeds or bruising easily occur. Report numbness or tingling of hands or feet as soon as possible.
Cough and dyspnea are signs of a hypersensitivity reaction to Notify the provider if nosebleeds or bruising easily occur. Report numbness or tingling of hands or feet as soon as possible.
A nurse is caring for a client who has a suspected bacterial infection in her urine. Which of the following prescribed laboratory tests will identify which micro-organism is responsible for the infection? Gram stain Culture Sensitivity Specific gravity
Culture
A client who recently had a heart transplant is being treated with ganciclovir (Cytovene) intermittent IV bolus daily. The nurse should recognize that ganciclovir is prescribed to prevent which of the following? Rejection of the transplanted organ Granulocytopenia Cytomegalovirus infection Thrombocytopenia
Cytomegalovirus infection
A nurse is monitoring a client who received regular doses of meperidine (Demerol) for postoperative pain for 36 hr. For which of the following should the nurse monitor the client? Hypothermia Bradycardia Delirium Watery diarrhea
Delirium
Which of the following interventions should the nurse implement when preparing to administer filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? Administer intramuscularly in a large muscle mass to prevent injury. Give orally with a meal or snack to prevent severe gastrointestinal upset. Shake vial gently to mix well before withdrawing dose. Discard vial after removing one dose of the medication.
Discard vial after removing one dose of the medication.
A nurse is reinforcing teaching to a client who has a vitamin B12 deficiency and a new prescription for intranasal cyanocobalamin (Nascobal) inserted into one nostril once a week. What instruction should the nurse give the client about the administration of the medication? administer before bedtime Administer early in morning before breakfast Administer in mid afternoon during lunch Don't administer within 1 hr of drinking liquids or eating hot foods
Don't administer within 1 hr of drinking liquids or eating hot foods
A nurse is caring for a client who has type 2 diabetes mellitus and a prescription for rosiglitazone (Avandia). For which of the following findings should the nurse monitor the client? Edema Palpitations Seizures Urinary retention
Edema
A nurse is caring for a client who receives amikacin (Amikin) by intermittent IV bolus for a severe infection. Which of the following laboratory values should the nurse recognize as an adverse effect of amikacin? Elevated serum creatinine Elevated triglycerides Decreased serum potassium Decreased hematocrit
Elevated serum creatinine
A nurse is caring for a client who has a prescription for cyclosporine (Sandimmune) to treat rheumatoid arthritis. Which of the following medications, if taken concurrently with cyclosporine, should the nurse anticipate causing a risk for cyclosporine toxicity? Phenytoin (Dilantin) Trimethoprim/sulfamethoxazole (Septra) Carbamazepine (Tegretol) Erythromycin (E-Mycin)
Erythromycin (E-Mycin)
A nurse is caring for a client who has rheumatoid arthritis and is being treated with a variety of medications. The nurse should monitor the client carefully for tuberculosis if the client is taking which of the following medications? Indomethacin (Indocin) Sulfasalazine (Azulfidine) Prednisone (Deltasone) Etanercept (Enbrel)
Etanercept (Enbrel)
The nurse should monitor the client for the adverse effect of tinnitus and hearing loss when administering which of the following diuretics? Ethacrynic acid (Edecrin) Chlorothiazide (Diuril) Triamterene (Dyrenium) Metolazone (Zaroxolyn)
Ethacrynic acid (Edecrin)
A client has been diagnosed with absence seizures. The nurse should recognize that which of the following medications are used to treat this type of seizure? Select all that apply Phenytoin (Dilantin) Ethosuximide (Zarontin) Gabapentin (Neurontin) Carbamazepine (Tegretol) Valproic acid (Depakote)
Ethosuximide (Zarontin) Valproic acid (Depakote)
A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following? Facial flushing Frontal headache Blurred vision Dry mouth
Facial flushing
A nurse is caring for a hospitalized client who has cancer and has a variety of prescribed adjuvant medications which may be administered along with opioids for pain. When the client describes having "burning pain shooting down my leg," which of the following adjuvants should the nurse administer? Etidronate (Didronel) Gabapentin (Neurontin) Methylphenidate (Ritalin) Hydroxyzine (Vistaril)
Gabapentin (Neurontin)
Match the following medications to their therapeutic action: 1. Mucolytic 2. Antitussive 3. Expectorant 4. Decongestant Guaifenesin (Mucinex) Dextromethorphan (Robitussin) Phenylephrine Acetylcysteine
Guaifenesin = 3 Dextromethorphan = 2 Phenylephrine = 4 Acetylcysteine = 1
A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine (Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following? Hallucinations Bradycardia Pinpoint pupils Pallor
Hallucinations
A client with Parkinson's disease has a new prescription for levodopa (Dopar). Which of the following findings should the nurse watch for in this client? Select all that apply Hallucinations Memory loss Mania Paranoid ideas Nightmares
Hallucinations Paranoid ideas Nightmares
A nurse is caring for a client who is prescribed vasopressin (Pitressin) for diabetes insipidus. For which of the following adverse effects should the nurse monitor the client? Select all that apply Headache Drowsiness Chest pain Urinary hesitation Bone pain
Headache Drowsiness Chest pain
A nurse is caring for a client who is receiving vancomycin (Vancocin) for a severe infection. For which of the following should the nurse monitor the client in order to collect data about a possible adverse reaction to vancomycin? Visual acuity Hearing ability Presence of ataxia Deep tendon reflexes
Hearing ability
A nurse is monitoring a client who has a prescription for zidovudine (Retrovir), a nucleotide reverse transcriptase inhibitor (NRTI), to treat HIV infection. Which of the following laboratory values indicate that the client may be experiencing a serious adverse effect to NRIT medications? BUN 14 mg/dL Hemoglobin 9 g/dL Fasting glucose 74 mg/dL Serum potassium 3.7 mEq/L
Hemoglobin 9 g/dL
A nurse is caring for a client who is prescribed somatropin (Genotropin) to stimulate growth. The nurse should plan to monitor the client's laboratory values for which of the following? Anemia Hyperglycemia Decreased urine specific gravity Increased urine amylase
Hyperglycemia
A nurse is caring for a client who has been prescribed potassium chloride (K-Dur) for a serum potassium level of 3.0 mEq/L. The client also has a new prescription for lisinopril (Zestril) to treat hypertension. The nurse should monitor the client for which of the following findings? Lisinopril toxicity Hyperkalemia Weight gain Bradycardia
Hyperkalemia
A nurse is caring for a group of clients in an outpatient facility who may require antibiotics for bacterial infections. For which of the following antibiotic prescriptions should the nurse be sure to collect data regarding previous penicillin allergies? Select all that apply Imipenem (Primaxin) Vancomycin (Vancocin) Cephalexin (Keflex) Cefepime (Maxipime) Teicoplanin (Targocid)
Imipenem (Primaxin) Cephalexin (Keflex) Cefepime (Maxipime)
A nurse is caring for a client who has severe pain in his right foot. Which of the following laboratory values tell the nurse that the client is having a flare-up of gout? Increased serum creatinine Decreased creatine kinase Decreased total protein Increased uric acid
Increased uric acid
A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings? Weight loss Infection Hypoglycemia Angina pain
Infection
Match each of the following types of insulin with the time of its onset: 1. Less than 15 min 2. 0.5 to 1 hr 3. 1 to 2 hr 4. 1 hr Insulin glargine (Lantus) Regular insulin (Humulin R) NPH insulin (Humulin N) Lispro insulin (Humalog)
Insulin glargine (Lantus) = 4 Regular insulin (Humulin R) = 2 NPH insulin (Humulin N) = 3 Lispro insulin (Humalog) = 1
A nurse is caring for a group of clients who need insulin injections. The nurse should recognize that he can mix which of the following insulins in the same syringe with another insulin? Select all that apply Insulin detemir (Levemir) Insulin lispro (Humalog) Insulin glargine (Lantus) Insulin glulisine (Apidra) Insulin aspart (Novolog)
Insulin lispro (Humalog) Insulin glulisine (Apidra) Insulin aspart (Novolog)
A nurse is monitoring a client with latent tuberculosis who has been taking twice-weekly isoniazid (INH) for the past 3 months. For which of the following findings should the nurse monitor the client? Jaundice Renal impairment Hypotension Palpitations
Jaundice
A nurse is reinforcing teaching to an adult client about her prescription for ciprofloxacin (Cipro). Which of the following adverse reactions should the nurse tell the client to watch for? Select all that apply Jaundice Vaginal yeast infection Irregular pulse rate Urinary hesitancy Achilles tendon pain
Jaundice Vaginal yeast infection Achilles tendon pain
A nurse is caring for a postoperative client who is prescribed ketorolac (Toradol) for pain management. The nurse should recognize that which of the following is true regarding the administration of ketorolac? Ketorolac is prescribed postoperatively to lower the dosage of opioids needed. Clients who take ketorolac avoid the adverse reactions of NSAIDS. Ketorolac is available as a timed-release transdermal patch. Clients may be prescribed ketorolac for long-term relief of chronic pain, such as arthritis.
Ketorolac is prescribed postoperatively to lower the dosage of opioids needed.
A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication? Serum creatinine Liver enzymes WBC count RBC count
Liver enzymes
A nurse is caring for a client who has a prescription for oral ketoconazole (Nizoral), which he will be taking for several months to treat a systemic fungal infection. Which of the following should the nurse plan to monitor? BUN and serum creatinine levels Hemoglobin and hematocrit levels Liver function tests Thyroid function tests
Liver function tests
A nurse is caring for a client who has received a prescription for gemfibrozil (Lopid). The nurse should know that which of the following lab values should be reviewed before the client begins taking the medication? Select all that apply: RBC count Liver function tests WBC count Serum electrolytes Creatine kinase (CK)
Liver function tests Creatine kinase (CK)
A nurse is reinforcing teaching for a client who is prescribed strong iodide solution (Lugol's solution) prior to thyroid surgery. For which of the following adverse effects should the nurse monitor the client? Blurred vision Metallic taste Absence seizures Frontal headache
Metallic taste
A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings? Sedation Nasal congestion Productive cough Constipation
Nasal congestion
A nurse is reinforcing teaching for a client who has a urinary tract infection and a new prescription for imipenem (Primaxin). Which of the following adverse reactions should the nurse instruct the client to watch for? Oral thrush Chest pain Rapid pulse Peripheral neuropathy
Oral thrush
A client who has Parkinson's disease is prescribed levodopa/carbidopa (Sinemet) and pramipexole (Mirapex). For which of the following should the nurse monitor this client? Urinary hesitancy Watery diarrhea Weight gain Orthostatic hypotension
Orthostatic hypotension
A nurse is monitoring a client who has a venous thrombus in her leg and is receiving a continuous IV infusion of heparin. Discuss the use of laboratory values to monitor the effectiveness of heparin. hemoglobin hematocrit PTT RBC
PTT
When caring for a client taking aspirin to reduce the risk for a myocardial infarction, the nurse should monitor for which of the following adverse effects? Select all that apply Petechiae Hypertension Tinnitus Bruising Bradycardia Black stools
Petechiae Tinnitus Bruising Black stools
A nurse is reinforcing teaching to a client with migraine headaches who has a new prescription for sumatriptan (Imitrex). The nurse should plan to monitor the client for which of the following? Nausea and vomiting Pressure in the chest Fever and sore throat Bleeding and bruising
Pressure in the chest
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for hypertension. Before administering the client's morning dose of propranolol, which of the following should the nurse plan to monitor? (Select all that apply): Urinary output Pulse rate Temperature Blood pressure Deep tendon reflexes
Pulse rate Blood pressure
A client who is HIV-positive is receiving combination medication therapy (HAART therapy) of abacavir, zidovudine, and lamivudine to treat HIV. The nurse should recognize that the client is receiving HAART to do which of the following? Select all that apply Reduce adverse medication effects. Block antiretroviral agents from entering healthy cells. Stimulate the immune system. Decrease medication resistance. Reduce the medication dosages.
Reduce adverse medication effects. Decrease medication resistance. Reduce the medication dosages.
A nurse is caring for a client who has severe pain and has been receiving hydroxyzine (Vistaril) along with each opioid injection. The client asks why she is receiving the medication. The nurse should recognize that use of adjuvant medications in conjunction with an opioid agonist is to accomplish which of the following? Select all that apply Reduce the dosage of the opioid Reduce the side effects of the opioid Increase the analgesic effects Increase CNS stimulation Increase opioid tolerance
Reduce the dosage of the opioid Reduce the side effects of the opioid Increase the analgesic effects
A nurse is caring for a client with a prescription for nifedipine (Procardia) to treat angina pectoris. The nurse should plan to monitor the client for which of the following findings? Weight loss Reflex tachycardia Grand mal seizures Urinary Retention
Reflex tachycardia
A nurse is caring for an older adult client who is taking large doses of aspirin four times daily for severe rheumatoid arthritis pain. For which of the following should the nurse monitor the client? Hepatotoxicity Renal impairment Reye's syndrome Ischemic stroke
Renal impairment
Match each herbal supplement below with an adverse reaction that can occur when taking the supplement: 1. Echinacea 2. Valerian 3. Kava Kava 4. Ma Huang Question 10 options: Sedation, possible physical dependence Cardiac dysrhythmias Jaundice, liver damage Allergic reactions in clients allergic to ragweed
Sedation = 2 Cardiac dysrhythmias = 4 Jaundice = 3 Allergic reactions = 1
A nurse is collecting data from an older adult client who states she takes ginkgo biloba to help her memory. Which of the following from the client's health history is a contraindication to the use of ginkgo biloba? Peripheral arterial disease Migraine headaches Seizure disorder Osteoporosis
Seizure disorder
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values should the nurse recognize as a reason to withhold the morning dose of the medication and notify the provider? Serum sodium 138 mEq/L Serum potassium 5.2 mEq/L Serum creatinine 1.2 mg/dL Serum chloride 106 mEq/L
Serum potassium 5.2 mEq/L
A nurse is to administer a regular intramuscular dose of aurothioglucose (Solganal) for a client who has rheumatoid arthritis. For which of the following should the nurse monitor and withhold the medication? Select all that apply Insomnia Stomatitis Visual changes Bruising Pruritus
Stomatitis Bruising Pruritus
A nurse is collecting data for a client who has arthritis and who hopes to obtain a prescription for celecoxib (Celebrex) from his provider to treat chronic joint pain. Which of the following allergies reported by the client is a contraindication to the use of celecoxib? Penicillin Sulfonamide Aspirin Shellfish
Sulfonamide
A nurse is reinforcing teaching for a client with hyperthyroidism who has a new prescription for propranolol (Inderal). The nurse should teach the client that propranolol should perform which of the following actions? Increase blood flow to the thyroid gland Prevent thyroid hormone synthesis Suppress tachycardia Promote conversion of T4 to T3
Suppress tachycardia
A nurse is reinforcing teaching to a client who is prescribed pramlintide (Symlin) for type 1 diabetes. Which of the following should the nurse include in the teaching? Use subcutaneous tissue in the upper arms as an injection site. Expect a lower risk for hypoglycemia when using pramlintide with insulin. Take oral medications 1 hr before or 2 hr after pramlintide. Discard open vials of pramlintide after 3 months.
Take oral medications 1 hr before or 2 hr after pramlintide.
A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? Select all that apply: Take the medication 15 min before exercising. Follow a fixed-dosage schedule for long-term control of asthma. Expect to lose weight while taking the medication. Observe for adverse effects such as tremors, restlessness, and palpitations. Do not crush or chew tablets.
Take the medication 15 min before exercising. Follow a fixed-dosage schedule for long-term control of asthma.
A client who has osteoporosis is started on alendronate (Fosamax). The nurse should instruct the client to do which of the following? Select all that apply Take the medication in the morning after arising and before eating. Chew tablets to increase bioavailability. Drink 8 oz of water with each tablet. Take the medication with an antacid if heartburn occurs. Avoid lying down after taking the medication.
Take the medication in the morning after arising and before eating. Drink 8 oz of water with each tablet. Avoid lying down after taking the medication.
A nurse is reinforcing teaching to a client who is prescribed lovastatin (Mevacor). Which of the following should be included in the teaching? Take the medication with the evening meal. Change position slowly when rising from a chair. Maintain a steady intake of green leafy vegetables. Consume no more than 1 L of fluid/day.
Take the medication with the evening meal.
A nurse is caring for a client who has been taking a daily dose of warfarin for the past two weeks following an acute myocardial infarction. The client's most recent INR is 1 to 2. If the client has been taking the warfarin as prescribed, the nurse should expect which of the following changes to the client's prescription? The warfarin will be continued at the same dose. The warfarin will be discontinued. The warfarin dosage will be increased. The warfarin dosage will be decreased.
The warfarin dosage will be increased. -therapeutic range is 2-3
A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for several weeks. At a visit to the clinic, the client's Hgb has increased from 7 g/dL to 8.5 g/dL in the past week. Which of the following actions should the nurse expect to take regarding today's dose of epoetin alfa? To increase today's dose. To administer the ordered dose. To withhold today's dose. To discontinue the medication.
To withhold today's dose.
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For which of the following medication interactions is the client at risk? Toxic levels of furosemide Toxic levels of digoxin Sub-therapeutic levels of furosemide Sub-therapeutic levels of digoxin
Toxic levels of digoxin
A nurse is caring for a client who has been receiving morphine for postoperative pain for the pastfew days. For which of the following should the nurse monitor the client? Select all that apply: Dilated pupils Urinary retention Orthostatic hypotension Constipation Nausea
Urinary retention Orthostatic hypotension Constipation Nausea
A nurse is caring for a client who takes a daily dose of warfarin (Coumadin).The client begins vomiting blood. Which of the following medications should the nurse prepare to give to reverse the effects of warfarin? Vitamin K Atropine sulfate Protamine sulfate Calcium gluconate
Vitamin K -antidote
A nurse is caring for a client who is taking levothyroxine (Synthroid). For which of the following should the nurse monitor to identify levothyroxine toxicity? Hair loss Lethargy Weight loss Cold intolerance
Weight loss
A nurse is reinforcing teaching for a client who has been prescribed Ezetimibe (Zetia) for some time and now has a new prescription for cholestyramine (Questran). Both medications are to be taken once daily. How should the nurse advise the client to take these two medications in order to prevent an interaction? It's okay to take at the same time Zetia can be taken 30 min after Questran Zetia should be taken 2 hr before Questran These two drugs are incompatible
Zetia should be taken 2 hr before Questran
A nurse is reinforcing teaching for a female client who has a new prescription for hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The nurse evaluates that the client understands the teaching when she states, "While taking hydroxychloroquine I should go to the dentist more frequently." call my doctor if I develop blurred vision." have a Pap test twice a year." let my doctor know if my urine becomes darker."
call my doctor if I develop blurred vision
A nurse is caring for a client who has been prescribed oxybutynin (Ditropan). What therapeutic outcomes should the nurse expect to see if this medication is helping the client? decrease incotinence decrease appetitie derease strength decrease neurolonal firing
decrease incotinence
Clients who take phenytoin must perform good oral hygiene. Why is oral hygiene important for these clients? gingival hyperplasia tooth decay edematous tongue ulceration of tongue
gingival hyperplasia
A nurse is reinforcing teaching to a client regarding the self-administration of nasal drops for allergic rhinitis symptoms. The nurse should instruct the client to lie in which position to obtain the best effect of the medication? suprine with head up suprine with head down lateral with head up lateral with head down
lateral with head down
A nurse is caring for a client who is taking valproic acid (Depakote) to prevent seizures. What laboratory values should the nurse plan to monitor for this client? kidney function tests cardiovascular function tests liver function tests gastrointestinal function tests
liver function tests
A nurse is caring for a client who has back pain and has been prescribed nalbuphine (Nubain). The nurse should know that agonist-antagonist opioids, such as nalbuphine, differ from pure opioid agonists in that they have a greater risk for abuse due to an increase in euphoria. cause a higher incidence of respiratory depression. may not be reversed with an opioid antagonist. may cause abstinence syndrome in clients physically dependent to opioids.
may cause abstinence syndrome in clients physically dependent to opioids.
A nurse is preparing to administer the first dose of a new prescription of captopril (Capoten) to a hospitalized client. What nursing interventions are necessary following the first dose of captopril? monitor for flushing monitor urinary output monitor pulse monitor BP
monitor BP
A nurse is reinforcing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. What information should the nurse provide to the client? monitor for hypertension monitor for tachycardia monitor for lower back pain monitor for clotting
monitor for clotting
A nurse is caring for a client who is taking 20 mg of liquid codeine six times daily as an antitussive medication. What potentially serious adverse effect should the nurse monitor the client for? increased heart rate increased urinary output respiratory depression hand tremors
respiratory depression
A nurse is to administer prescribed puffs of a beclomethasone (QVAR) inhaler and an albuterol (Proventil) inhaler to a hospitalized client newly diagnosed with asthma. Which of the following inhalers should the nurse administer to the client first? the bronchodilator, albuterol (Proventil) first the steroid, beclomethasone (QVAR), first it doesn't matter they should be given 4 hours apart
the bronchodilator, albuterol (Proventil) first
A client has been receiving daily doses of oprelvekin (Interleukin-11). Which laboratory value should the nurse monitor to determine the effectiveness of the medication? thrombocyte count platelet count red blood cell count albumin count
thrombocyte count
A nurse is reinforcing teaching to a client who has been prescribed daily calcium supplements. What foods should the nurse teach the client to avoid at the time she takes her calcium tablets? wholegrain breads and cereals orange juice red meat apricots
wholegrain breads and cereals
