Pharm Practice Questions
The nurse determines that the client understands an important principle in self-administration of nifedipine (Procardia) when the client makes which of the following statements? 1. "The use of antacids when taking the medication will enhance absorption." 2. "Grapefruit juice may enhance the absorption of nifedipine." 3. "If I miss a dose, I should take two nifedipine capsules when I remember." 4. "This drug will make my birth control pills ineffective."
"Grapefruit juice may enhance the absorption of nifedipine."
The nurse determines that the client understands an important principle in self-administration of hydralazine (Apresoline) when the client makes which of the following statements? 1. "I should not drive until the response to drug therapy is determined." 2. "I can stop taking this medication once I begin to feel better." 3. "If I experience dizziness, I should take only half the dose." 4. "I should avoid air travel while taking this medication."
"I should not drive until the response to drug therapy is determined."
Which statement made by the client who is taking lithium carbonate (Eskalith) indicates that further teaching is necessary? 1. "I will be sure to remain on a low sodium diet." 2. "I will have blood levels drawn every 2 to 3 months, even when I have no symptoms." 3. "Lithium has a narrow margin of safety, so toxicity is a very real concern." 4. "I will not be able to breastfeed my baby."
"I will be sure to remain on a low sodium diet."
Which of these statements, if made by a client, would indicate that further instruction is needed about alprazolam (Xanax)? 1. "I will stop smoking by undergoing hypnosis." 2. "I will not drive immediately after I take this medication." 3. "I will stop taking the medicine when I feel less anxious." 4. "I will take my medication with food if my stomach feels upset."
"I will stop taking the medicine when I feel less anxious."
Which statement, if made by the client, would alert the nurse that the antiparkinson medication is effective? 1. "I'm sleeping a lot more, especially during the day." 2. "My appetite has improved." 3. "I'm able to shower by myself." 4. "My skin doesn't itch anymore."
"I'm able to shower by myself."
The nurse determines that the client understands an important principle in self-administration of fluoxetine (Prozac) when the client makes which of the following statements? 1. "I should not decrease my sodium or water intake." 2. "This drug can be taken concurrently with an MAOI." 3. "It may take up to 1 month to reach full therapeutic effects." 4. "There are no problems associated with concurrent use of other depressants."
"It may take up to 1 month to reach full therapeutic effects."
The community health nurse visits a client who has been prescribed atorvastatin (Lipitor). Which of the following statements, if made by the client, indicates that further teaching is necessary concerning this drug therapy? 1. "I should try to maintain my body weight at an optimal level." 2. "Most clients with lipid disorders have chest pain or shortness of breath." 3. "The best time for me to take this medication is before I go to bed." 4. "I will avoid beverages that contain grapefruit juice."
"Most clients with lipid disorders have chest pain or shortness of breath."
A client is prescribed beclomethasone (Beclovent), a glucocorticoid inhaler. Education by the nurse will include: 1. "Check your heart rate because this may cause tachycardia." 2. "Limit your coffee intake while on this drug." 3. "Rinse your mouth out well after each use." 4. "You may feel shaky and nervous after using this drug."
"Rinse your mouth out well after each use."
The nurse determines that the client understands an important principle of chemotherapy when the client makes which statement? 1. "The use of multiple chemotherapy drugs affects different stages of the cancer cell's life cycle." 2. "Staging describes the process of determining how responsive the cancer is to the prescribed chemotherapy." 3. "Antineoplastic drugs kill the entire tumor, including the clones, and prevent repopulation." 4. "Combination chemotherapy requires higher dosages of each individual agent and increases toxicity."
"The use of multiple chemotherapy drugs affects different stages of the cancer cell's life cycle."
The client, who is receiving a daily dose of methyldopa (Aldomet) informs the nurse that the medication is causing severe drowsiness during the day. Which of the following responses would be best when addressing this complaint? 1. "You should drink at least 1 to 2 cups of caffeinated beverages such as coffee daily." 2. "You can minimize daytime sedation by changing medication dosages to nighttime." 3. "A midday nap each day will be most effective immediately after lunch." 4. "Daytime sleepiness is not an expected adverse effect. Stop taking the medication."
"You can minimize daytime sedation by changing medication dosages to nighttime."
A client was started on rosiglitazone for type 2 diabetes. He tells the nurse that he has been taking it for 5 days, but his glucose levels are unchanged. The nurse's best response is: 1. "You should double the dose. It should start helping." 2. "You need to give the drug more time. It can take several weeks before it becomes effective." 3. "You will need to add a second drug since this one has not been effective." 4. "You most likely require insulin now."
"You need to give the drug more time. It can take several weeks before it becomes effective."
The nurse on a medical floor is caring for a 42-year-old client diagnosed with acute exacerbation of pancreatitis. The client requests a pain medication for pain rated an 8 on a scale of 1-10. Which interventions should the nurse implement? Select all that apply A Administer the pain medication intramuscularly only to prevent addiction. B Check the MAR to determine when the last pain medication was administered C Check two client's identifiers prior to administering the prescribed pain medication D Check the client's amylase level on the chart E Assess the client's respiratory and abdomen status
-Check the MAR to determine when the last pain medication was administered -Check two client's identifiers prior to administering the prescribed pain medication -Assess the client's respiratory and abdomen status
Which test results should a nurse review to determine if the antibiotics prescribed for the client are effective? Select all that apply A. Complete blood count B. Sensitivity Test C. Pregnancy test D. Blood urea nitrogen test E. Body fluid culture test
-Complete blood count -Sensitivity test -Body fluid culture test
A health care provider has ordered nifedipine (Procardia XL) for each of these clients. A nurse will most closely monitor which client for drug-related problems? 1. A client who is admitted for an appendectomy in the morning 2. A client who is receiving renal dialysis three times per week 3. A client who develops pulmonary edema in the intensive care unit 4. A client who receives psychotropic drugs for bipolar disease
A client who develops pulmonary edema in the intensive care unit
Which of the following assessment findings would cause the nurse to withhold the regularly scheduled dose of levothyroxine? 1. A 2-lb weight gain 2. A blood pressure reading of 100/70 mmHg 3. A heart rate of 110 4. A temperature of 37.9°C (100.2°F)
A temperature of 37.9°C (100.2°F)
The client with deep vein thrombosis is being treated with a heparin infusion. The nurse would monitor for therapeutic effectiveness by noting which of the following? 1. Activated partial thromboplastin time (aPTT) 2. Prothrombin time (PT) 3. Platelet counts 4. International normalized ratio (INR)
Activated partial thromboplastin time (aPTT)
A client with asthma asks which of the prescribed medications should be used in the event of an acute episode of bronchospasm. The nurse will instruct the client to use: 1. Albuterol, a beta agonist bronchodilator, by inhalation. 2. Beclomethasone, a glucocorticoid anti-inflammatory drug, by inhalation. 3. Ipratropium, an anticholinergic bronchodilator, by inhalation. 4. Zafirlukast, a leukotriene modifier, by mouth.
Albuterol, a beta agonist bronchodilator, by inhalation.
Which of the following clients receiving isoniazid (INH) is most likely to experience hepatotoxicity? 1. A 42-year-old housewife 2. A 22-year-old postpartum female 3. An 82-year-old farmer 4. A 42-year-old marketing executive
An 82-year-old farmer
The nurse is caring for several clients who are receiving opioids for pain relief. Which client is at the highest risk of developing hypotension, respiratory depression, and mental confusion? a. A 23-year-old female, post delivery of a 6-lb baby. b. A 16-year-old male, post motorcycle injury with lacerations c. A 54-year-old female, post myocardial infarction d. An 86-year-old male postoperative femur fracture
An 86-year-old male postoperative femur fracture
The nurse should inform the client who is prescribed a nebulizer treatment with a bronchodilator agent that a common adverse effect is: 1. An increased heart rate with palpitations. 2. Predisposition to infection. 3. Sedation. 4. Temporary dyspnea.
An increased heart rate with palpitations.
Valproic acid (depacon) is prescribed for a client. The nurse should question the prescription if the nurse has which diagnosis? a. Generalized seizure disorder b. Status epilepticus c. Anxiety disorder d. convulsion
Anxiety disorder
Which drug does a nurse anticipate may be prescribed for a client with schizophrenia in order to achieve a better compliance? a. Ariprazole (abilify) b. Fluoxetine (Prozac) c. Haloperidol (Haldol) d. Lithium carbonate (eskalith)
Ariprazole (abilify)
A terminally ill client in a hospice unit for several weeks is receiving a morphine drip. The dose is now above the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. What should the nurse do? A. Add a placebo to the morphine to appease the spouse B. Discuss with the spouse the risk for addiction C. Asses the client's pain rate before increasing the morphine to the next level D. Check the clients heart rate before increasing the morphine to the next level
Asses the client's pain rate before increasing the morphine to the next level
A nurse should advise a client who is receiving lorazepam (Ativan) about the adverse effects of this medication, which include: 1. Tachypnea. 2. Astigmatism. 3. Ataxia. 4. Euphoria.
Ataxia
Methyldopa (Aldomet) is being initiated for a client with hypertension. Which of the following health teachings would be most appropriate for this drug? 1. Avoid hot baths and showers, and prolonged standing in one position. 2. This drug may discolor the urine to a pinkish-brown color. 3. You may experience bloating and weight gain. 4. The tablet should be taken only with food or milk.
Avoid hot baths and showers, and prolonged standing in one position.
A nurse is instructing a client who is receiving tacrolimus (Prograf) following a liver transplant. Which point should be included in the teaching plan? a. Take a "baby" strength aspirin every day. b. Increase physical activity to avoid weight gain. c. Record radial pulse rate every morning in a journal. d. Avoid raw fruits and vegetables and eat only fully cooked meats.
Avoid raw fruits and vegetables and eat only fully cooked meats.
The client is receiving levodopa (Larodopa) for parkinsonism. Which of the following drugs would the nurse expect to be added to the client's drug regimen to help control tremors? 1. Amantadine (Symmetrel) 2. Benztropine (Cogentin) 3. Haloperidol (Haldol) 4. Donepezil (Aricept)
Benztropine (Cogentin)
A 4-year-old child with respiratory distress secondary to asthma has an order for a nebulizer treatment. The type of medication most likely to be given for asthma management is a: 1. Beta agonist. 2. Beta antagonist. 3. Corticosteroid. 4. Leukotriene modifier.
Beta agonist
Which drug requires the nurse to monitor the client for bowel movement? a. Ondansetron (Zofran) b. Sucralfate (Carafate) c. Cimetidine (Tagamet) d. Bismuth subsalicylate (pepto-bismol)
Bismuth subsalicylate (pepto-bismol)
Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity should the nurse teach the client to report? A. Increased urine output B. Blood in the stool C. Joint pain D. Nausea
Blood in the stool
A client is receiving a calcium channel antagonist for hypertension. The nurse included in the care plan to monitor the client for which of the following adverse effects? 1. Rash and chills 2. Increased urinary output 3. Weight loss 4. Changes in level of consciousness
Changes in level of consciousness
Which of the following assessment findings would the nurse not attribute to the effects of thyroid hormone replacement therapy? 1. Constipation and weight gain 2. Increased heart rate and cardiac output 3. Decreased reports of fatigue 4. Decreased blood cholesterol levels
Constipation and weight gain
The client who is having a scalp laceration sutured will be receiving local anesthesia with lidocaine (Xylocaine) that contains epinephrine. The nurse knows that the purpose of this drug combination is to: 1. Decrease bleeding at the site of trauma. 2. Increase vasodilation at the site of the laceration. 3. Decrease blood pressure in individuals who are hypertensive. 4. Ensure that infection at the wound site will not occur.
Decrease bleeding at the site of trauma.
The nurse is preparing a plan of care for a client with myasthenia gravis. Which of the following is appropriate for a client receiving a cholinergic agonist for this condition? 1. Increase in HR, BP, RR 2. Enhanced urinary elimination 3. Decrease in muscle weakness, ptosis, diploplia 4. Prolonged muscle contractions and proprioception
Decrease in muscle weakness, ptosis, diploplia
A client who is receiving antituberculosis therapy is complaining of tingling and numbness of the fingers and toes. The nurse knows that these symptoms are most likely due to the drug's ability to: 1. Increase the sensitivity of nerve endings. 2. Decrease the activity of pyridoxine (vitamin B6). 3. Accelerate the excretion of neurotransmitters. 4. Enhance skin receptors to ascorbic acid (vitamin C).
Decrease the activity of pyridoxine (vitamin B6).
Which of the following assessment findings would indicate therapeutic goals have been achieved for a client with diabetes insipidus being treated with vasopressin? 1. Decreasing signs of dehydration 2. Increasing pulse and urine output 3. Decreasing urine specific gravity 4. Decreasing hyperglycemia
Decreasing signs of dehydration
During the first postoperative day following a craniotomy, a client is noted to have produced 2,400 mL of urine with a specific gravity of 1.001. The nurse suspects that the client has developed: 1. Syndrome of inappropriate antidiuretic hormone. 2. Diabetes insipidus. 3. Excessive urination from fluids given during surgery. 4. Adverse effects of opioids used for pain management.
Diabetes insipidus.
The emergency department nurse is caring for a client with a migraine headache. Which of the following drugs would the nurse anticipate administering to abort the client's migraine attack? a. Morphine b. Dihydroergotamine (Migranal) c. Propranolol (Inderal) d. Ibuprofen (Motrin)
Dihydroergotamine (Migranal)
The nurse administers an intravenous dose of penicillin to a client. Twenty minutes later the client is complaining of shortness of breath, itching, difficulty swallowing. Which intervention should the nurse implement first? A. Prepare to administer subcutaneous epinephrine B. Discontinue the client's intravenous antibiotics C. Assess the client's apical pulse and blood pressure D. Administer 10 liters of oxygen via nasal cannula
Discontinue the client's intravenous antibiotics
The HCP prescribed amoxicillin/clavulanate (Augmentin), an antibiotic, for a client diagnosed with common cold. Which intervention should the nurse implement first? A. Discuss the prescription with the HCP because antibiotic do not help viral infections B. Teach the client to take all the antibiotics as ordered C. Encourage the client to seek a second opinion before taking the medication D. Ask the client if he or she is allergic to sulfa drugs or shellfish
Discuss the prescription with the HCP because antibiotic do not help viral infections
Chemotherapy is being initiated for a client with prostate cancer who is experiencing mucositis. Which of the following health teaching would be most appropriate for this drug? 1. Use an over-the-counter mouthwash to eliminate bacteria. 2. Increase intake of citrus-containing foods and beverages. 3. Eat a bland diet and use a soft toothbrush for oral care. 4. This adverse effect is expected and will disappear within a few days.
Eat a bland diet and use a soft toothbrush for oral care.
The nurse is monitoring the laboratory findings of a client who is taking interferon alfa-2b (Intron A). Which findings would indicate that the client is experiencing common adverse effects? a. Flulike symptoms of fever, chills, fatigue, and weight loss b. Depression with thoughts of suicide c. Edema, hypotension, and tachycardia d. Fluid volume overload, hypertension, renal insufficiency
Flulike symptoms of fever, chills, fatigue, and weight loss
The provider orders neostigmine for a client who has not urinated in the last 16 hours. The nurse collaborates with the prescriber about which of the following data related to this drug therapy? 1. Heart rate less than 60 beats per minute. 2. Change in pupillary size. 3. Increased salivation and thirst. 4. Respiratory rate of 16 per minute.
Heart rate less than 60 beats per minute
The nurse knows that sympathomimetic decongestants should be avoided by people with which conditions or situations? 1. Hypertension and coronary artery disease 2. Wide-angle glaucoma 3. Breast-feeding women 4. Elderly clients
Hypertension and coronary artery disease
Which of the following laboratory findings would cause the nurse to be concerned about digoxin (Lanoxin) toxicity? 1. Hypocalcemia 2. Hypermagnesemia 3. Hyperbilirubinemia 4. Hypokalemia
Hypokalemia
A client with cancer is started on a chemotherapeutic agent that is a known vesicant. The nurse performs which priority activity related to this drug? Monitor the client's: 1. Response to antinausea drugs. 2. Intake of calcium-rich foods. 3. Respiratory status for cough. 4. IV site for swelling and pain.
IV site for swelling and pain.
A client's family asks the nurse to explain the most common cause for treatment failure in pulmonary tuberculosis. The nurse knows that treatment failure is most often caused by the client's: 1. Inability to pay for the medication. 2. Poor nutritional intake of complex proteins. 3. Inability or unwillingness to adhere to the therapeutic regimen. 4. Inability to restrict intake of calcium-enriched foods.
Inability or unwillingness to adhere to the therapeutic regimen.
The health care provider prescribes epinephrine (adrenalin) to a client who was stung by several wasps 30 minutes ago. The nurse knows that the primary purpose of this medication for this client is to: 1. Stop the systemic release of histamine produced by the mast cells. 2. Counteract the formation of antibodies in response to an invading antigen. 3. Increase the number of white blood cells produced to fight the primary invader. 4. Increase a declining blood pressure and dilate constricting bronchi associated with anaphylaxis.
Increase a declining blood pressure and dilate constricting bronchi associated with anaphylaxis.
Which of the following health teaching concepts should the nurse review with a client receiving anticholinergic drug therapy? The client should be taught to: 1. Exercise daily to avoid muscle atrophy. 2. Increase dietary fiber and water intake to avoid constipation. 3. Consume foods high in iron to increase red blood cell production. 4. Monitor the heart rate for bradycardia.
Increase dietary fiber and water intake to avoid constipation.
Several days postoperative bowel surgery, the client is eating soft food, ambulating regularly, and using hydromorphone (Dilaudid) for pain. The nursing care plan should include: 1. Monitoring vital signs for respiratory depression. 2. Inserting a urinary catheter for urinary retention. 3. Weaning pain medication to prevent addiction. 4. Increasing dietary fiber and fluids and administering a stool softener.
Increasing dietary fiber and fluids and administering a stool softener.
Several days postoperative bowel surgery, the client is eating soft food, ambulating regularly, and using hydromorphone (Dilaudid) for pain. The nursing care plan should include: a. Monitoring vital signs for respiratory depression. b. Inserting a urinary catheter for urinary retention. c. Weaning pain medication to prevent addiction. d. Increasing dietary fiber and fluids and administering a stool softener.
Increasing dietary fiber and fluids and administering a stool softener.
Which finding, if present, in a client who took a beta2-adrenergic agonist prior to bedtime would the nurse consider normal? 1. Insomnia 2. Sleepiness 3. Urticaria 4. Tinnitus
Insomnia
The client with deep vein thrombosis is being treated with a heparin infusion. The nurse would monitor for therapeutic effectiveness by noting which of the following? 1. Inject medication in the deep fatty layer of the abdomen. 2. When assessing blood pressure, release cuff pressure as soon as possible. 3. Hold direct pressure on venipuncture sites for 10 minutes. 4. Instruct client on the importance of using dental floss daily.
Instruct client on the importance of using dental floss daily.
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the nurse what the medication does. What should the nurse respond? a. It increases gastric motility b. It neutralizes gastric acidity c. It facilitates histamine release d. It inhibits gastric acid secretion
It inhibits gastric acid secretion
A client receiving carboplatin (Paraplatin) is also receiving filgrastim (Neupogen). The nurse will explain to the client that the filgrastim is used for what effect? 1. It boosts the effects of the carboplatin so a decreased dosage is needed. 2. It prevents the development of secondary cancers related to the carboplatin. 3. It shortens the duration of neutropenia and associated infection risk related to the carboplatin. 4. It prevents bone loss and osteoporosis.
It shortens the duration of neutropenia and associated infection risk related to the carboplatin.
The nurse is evaluating the client who is receiving chemotherapy to determine the risk for infection. Which laboratory values would prompt the nurse to implement protective isolation measures for this client? 1. High uric acid level 2. Low neutrophil count 3. High red blood cell count 4. Low platelet count
Low neutrophil count
When a client is preparing for colonoscopy next day, which laxative does a nurse anticipate to be prescribed? a. Psyllium mucilloid (Metamucil) b. Magnesium hydroxide (milk of magnesia) c. Docusate (Colace) d. Loperamide (Imodium)
Magnesium hydroxide (milk of magnesia)
A client who is taking an anticoagulant states, "I wake up every morning with arthritis pain and I always take aspirin or ibuprofen." The nurse's response would be based on which of the following physiologic concepts? 1. Aspirin and ibuprofen (Motrin) will counteract the therapeutic effects of many anticoagulants. 2. Anticoagulants will reduce the half-life of drugs such as aspirin and ibuprofen. 3. Many substances such as aspirin and ibuprofen will increase the risk of bleeding. 4. The combination of aspirin products with anticoagulants will worsen arthritis pain.
Many substances such as aspirin and ibuprofen will increase the risk of bleeding
The nurse is administering medications at 1600. Which medication should the nurse administer first? A. Humalog insulin for a client with a blood glucose level of 200 mg/Dl B. Meperidine (Demerol), a narcotic analgesic, with a headache rated an 8 out of 10. C. Divalproex (Depakote ER) for a client diagnosed with migraine headaches D. Metoclopramide (reglan), an antiemetic, for a client with gastric stasis
Meperidine (Demerol), a narcotic analgesic, with a headache rated an 8 out of 10.
The nurse is monitoring a client receiving acetazolamide (Diamox). Which of the following acid-base imbalances is a potential risk for this client? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis
Metabolic acidosis
The client is started on propranolol (Inderal). The most important action to be included in the plan of care for this client related to this medication includes which of the following? 1. Monitor apical pulse and blood pressure 2. Elevate the head of the bed during meals 3. Take the medication after meals 4. Consume foods high in potassium
Monitor apical pulse and blood pressure
In providing the heart failure client with information prior to discharge, the nurse will discuss digoxin (Lanoxin) therapy. Which of the following would the nurse include in the client's teaching? 1. Take the drug in the morning before rising. 2. Monitor the pulse daily prior to taking the drug. 3. Discontinue the drug if the pulse rate is 70 beats per minute. 4. Eat a diet high in bran fiber and calcium.
Monitor the pulse daily prior to taking the drug.
A postpartum client received Rh o [D] immune globulin (RhoGAM) therapy after the delivery of an 8-lb baby boy. The nurse performs what important intervention during the course of this treatment? a. Monitors the client for 20 minutes following the administration for hypersensitivity reaction. b. Evaluates the laboratory results for thrombocytopenia, anemia, and increased liver enzymes. c. Provides the client with the information needed to maintain a low-saturated fat, low-cholesterol diet. d. Instructs the client to use nonmedicated sugar-free lozenges or hard candies to relieve cough.
Monitors the client for 20 minutes following the administration for hypersensitivity reaction.
A client who is taking an adrenergic agonist for hypertension complains of dizziness when first getting out of bed in the morning. The nurse should advise the client to: 1. Move slowly from the recumbent to the upright position. 2. Drink a full glass of water before rising to increase vascular circulatory volume. 3. Avoid sleeping in the prone position. 4. Stop taking the medication.
Move slowly from the recumbent to the upright position.
A client is receiving dantrolene sodium (Dantrium) after a spinal cord injury. The nurse will include in the care plan to monitor the client for which of the following adverse effects? 1. Muscle tension 2. Muscle weakness 3. Muscle tremors 4. Muscle pain
Muscle weakness
The nurse is collaborating with the interdisciplinary team regarding the care of a client with a brain tumor. The nurse knows that the most common reason that subsequent rounds of chemotherapy may be delayed is due to what condition? 1. Myelosuppression 2. Alopecia 3. Mucositis 4. Cachexia
Myelosuppresion
A client receiving morphine by patient-controlled analgesia has a respiratory rate of 6 breaths/min. What intervention should the nurse anticipate? A. Nasotracheal suction B. Mechanical ventilation C. Naloxone administration D. Cardiopulmonary resuscitation
Naloxone
A client has been receiving vincristine (Oncovin) as one of the drugs in a chemotherapy regimen. What important findings will the nurse monitor to prevent or limit the main dose-related toxicity for this client? Select all that apply. 1. Numbness of the hands or feet 2. Angina and dysrhythmias 3. Constipation 4. Diminished reflexes 5. Dyspnea and pleuritis
Numbness of the hands or feet Constipation Diminished reflexes
A client who has been diagnosed with peptic ulcer disease (PUD) is started on Amoxicillin as part of the therapy. What should the nurse do when administering this drug? a. Administer the medication with meals or a snack b. Provide orange citrus fruit juice with the medication c. Anticipate lansoprazole prescribed as well d. Offer antacids at least 2 to 4 hours after administration
Offer antacids at least 2 to 4 hours after administration
The nurse should question a health care provider's order of phenobarbital for the client with which of the following conditions? 1. Seizure disorder 2. Panic disorder 3. Prior to a bronchoscopy 4. Prior to receiving a general anesthetic
Panic disorder
A nurse identifies that a client receiving chemotherapy has thrown up. What is the most prioritized nursing intervention for this client? a. Provide low-carbohydrate meals b. Explain the effect of chemotherapy c. Promote the rest on side lying position d. Administer ordered Ativan before meals
Promote the rest on side lying position
The nurse teaches the client that which type of over-the-counter cough preparations is not effective with coughs associated with the common cold and allergic rhinitis? 1. Dextromethorphan 2. Diphenhydramine 3. Mucolytics 4. Pseudoephedrine
Pseudoephedrine
A 7-year-old girl, who was bitten by a stray dog, is treated in the emergency department. The dog has not been tested to rule out rabies. The nurse will anticipate that this client will receive which immunizations? Select all that apply. a. Tetanus toxoid b. DTaP vaccine c. Rabies immunoglobulin d. Rabies vaccine e. Rabies toxoid
Rabies immunoglobulin Rabies vaccine
The nurse, who is monitoring a client taking phenytoin (Dilantin), has noted symptoms of nystagmus, confusion, and ataxia. Considering these findings, the nurse would suspect that the dose of the drug should be: 1. Reduced. 2. Increased. 3. Maintained. 4. Discontinued.
Reduced
Nitroglycerin topical ointment is being initiated for a client with angina. Which of the following health teachings would be most appropriate? 1. Keep the medication in the refrigerator. 2. Only take this medication when chest pain is severe. 3. Remove the old paste before applying the next dose. 4. Apply the ointment on the chest wall only.
Remove the old paste before applying the next dose.
The client taking atorvastatin (Lipitor) reports decreased urine output, edema, and weight gain. The nurse initially assesses the client for which of the following conditions? 1. Rhabdomyolysis 2. Rhabdomyoma 3. Rhabdomyosarcoma 4. Rhinorrhea
Rhabdomyolysis
The nurse is talking with a group of clients with cardiac conditions who are taking diuretic therapy. The nurse explains that individuals prescribed furosemide (Lasix) should: 1. Avoid consuming large amounts of cabbage, cauliflower, and kale. 2. Rise slowly from sitting or lying positions. 3. Count their pulse for 1 full minute before taking the medication. 4. Inject the medication subcutaneously around the umbilicus.
Rise slowly from sitting or lying positions.
The nurse is caring for a client receiving a sedative-hypnotic. Which of the following adverse effects associated with this drug therapy is the highest priority for the nurse? 1. Urinary incontinence 2. Activity intolerance 3. Risk for falls 4. Poor nutritional intake
Risk for falls
What should the nurse monitor to evaluate the effectiveness of carbamazepine (tegretol) in the management of a client's status epilepsy? a. Bowel movement b. Seizure activity c. Liver function d. Emetic output
Seizure activity
The client asks how atenolol (Tenormin) helps angina. The response provided by the nurse is based on which of the following concepts? This medication: 1. Slows the heart rate and reduces contractility. 2. Increases the heart rate and diminishes contractility. 3. Blocks sodium channels and elevates depolarization. 4. Decreases blood pressure and blocks the alpha2 receptors.
Slows the heart rate and reduces contractility.
A healthcare provider has ordered neostigmine for each of these clients. A nurse should question the order for which client? A client: 1. With postoperative abdominal distension. 2. Experiencing urinary retention. 3. Suffering from chronic obstructive pulmonary disease. 4. Who has received nondepolarizing muscle relaxants.
Suffering from chronic obstructive pulmonary disease.
The clinic nurse is discussing medication compliance with a client diagnosed with AIDS. Which information should the nurse discuss with the client? A. The availability of insurance to pay for the medications B. Whether the client wants to try to manage the disease without medications C. Include over the counter herbs in the medication regimen D. The importance of taking multiple vitamins at least twice a day
The availability of insurance to pay for the medications
The client diagnosed with acquired immunodeficiency syndrome (AIDS) is prescribed a combination of a protease inhibitor, a non-nucleoside reverse transcriptase inhibitor, and two nucleoside reverse transcriptase inhibitors. Which statement best describes the scientific rationale for combining these medications? A. The combination of medications is less expensive than hospitalization for HIV. B. Multiple medications are needed to eradicate all of the HIV infection C. Protease inhibitors counteract the side effects of the other medications D. The combination prevents or delays the client's complications from HIV infection
The combination prevents or delays the client's complications from HIV infection
The nurse is preparing to administer an MMR vaccination to a 15-month-old child. What would cause the nurse to hold the injection and recheck this order with the provider? a. The mother tells the nurse that the family will be going to the beach for the next few weeks. b. The mother states that she was told that she had a reaction to the injection when she was a child. c. The mother tells the nurse that her husband is having chemotherapy for Hodgkin's lymphoma. d. The mother tells the nurse that the child's older brother is home with a cold virus.
The mother tells the nurse that her husband is having chemotherapy for Hodgkin's lymphoma.
What information should the nurse include when teaching a client about antacid tablets? a. Take them at 4 hour intervals b. Take them 1 hour before meals c. They are as effective as the liquid forms d. They interfere with the absorption of other drugs
They interfere with the absorption of other drugs
In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client: 1. That therapy typically lasts about 6 months. 2. That weekly laboratory tests for T4 levels will be required. 3. To report weight loss, anxiety, insomnia, and palpitations. 4. That the drug may be taken every other day if diarrhea occurs.
To report weight loss, anxiety, insomnia, and palpitations.
A client with acute lymphoblastic leukemia has started therapy with doxorubicin (Adriamycin). The nurse will assist the client with what important intervention during the course of this treatment? 1. Perform active or assisted range-of-motion (ROM) exercises to maintain strength. 2. Participate in relaxation therapy to control pain. 3. Use daily mouth rinses as prescribed. 4. Maintain bed rest during treatment.
Use daily mouth rinses as prescribed.
Azathioprine (Imuran) is prescribed to a client who had a renal transplant. A nurse reviews the client's medical record and would question the medication order for the client with a history of: a. Benign prostatic hyperplasia b. Cataracts c. Varicella zoster d. Rheumatoid arthritis
Varicella zoster
To avoid the first-dose phenomenon, the nurse knows that the initial dose of prazosin (Minipress) should be: 1. Very low and given at bedtime. 2. Doubled and given before breakfast. 3. The usual dose and given before breakfast. 4. Doubled and given immediately after breakfast.
Very low and given at bedtime.
The nurse is preparing to administer cyclophosphamide (Cytoxan) and knows that the client will experience a nadir in approximately 9 to 14 days. Which laboratory value(s) will indicate to the nurse that the client has reached the nadir? 1. Blood urea nitrogen and creatinine 2. White blood cell count and absolute neutrophil count 3. Ionized calcium 4. Serum albumin
White blood cell count and absolute neutrophil count
The nurse who is caring for a client receiving cyclosporine (Sandimmune) will discontinue the medication immediately and call the provider if which of the following occurs? a. Red blood cell count above 8.5 million/mm 3 b. White blood cell count below 4,000/mm 3 c. Platelet count above 100,000/mm 3 d. Serum creatinine level less than 1.0 mg/100 mL
White blood cell count below 4,000/mm 3
A client who is receiving intravenous lidocaine (Xylocaine) for ventricular dysrhythmias exhibits confusion and anxiety. The appropriate response by the nurse would be to: 1. Withhold the drug and notify the health care provider immediately. 2. Increase the infusion rate and calm the client. 3. Discontinue the infusion and administer the antidote. 4. Decrease the infusion rate and monitor for confusion.
Withhold the drug and notify the health care provider immediately.
Carbidopa/levodopa (sinemet) is prescribed for a client. What should the nurse teach the client about this medication? a. Take this medication between meals b. Blood levels of the drug should be monitored weekly c. You will feel much easier to move your body d. You feel happiness followed by depression
You will feel much easier to move your body
