Pharm Practice

The nurse assesses a client in the labor room and finds the Bishop score for her cervical status is 6. Which medication would be administered to this client?

Dinoprostone

Which medication would the nurse anticipate administering to a client admitted for labor induction?

Dinoprostone

Laboratory report revealed that the clients thyroxine levels are low. Which medication might have led to this condition?

Lithium

The nurse, administers, intravenous magnesium sulfate to a client admitted with severe preeclampsia. The nurse identifies which as the classification of this medication?

Central nervous system depressant

Which interventions would the nurse implement when administering medications to a 10 year old child?

-Explaining the procedure -Explaining the need to take the medication -Providing activities to relieve the child's aggression

Which factors would the nurse consider when administering medications to adolescents?

-Explanation of the medication administration procedure by the nurse to the client -Interactive communication regarding the procedure of medication administration -Encouragement of self-expression, individuality, and self-care

Which information will the nurse provide to a child's caregivers to ensure a safe, proper handling, and use of medication?

-Medication storage -Written instructions -Nature and duration of the adverse response -Demonstration of the techniques of administration

A client with schizophrenia who has type 2 negative symptoms is prescribed risperidone. Which outcomes indicate the medication has minimized these symptoms?

-More interest shown in unit activities -The client performs activities of daily living independently

Which statements regarding the use of selegiline to treat depression are true?

-Oxcarbazepine significantly raises the level of selegiline -The most common adverse reaction of selegiline is a localized rash -Transdermal selegiline is the only transdermal treatment for major depression

Doxepin is prescribed for a 74 year old to treat a depressive episode. Which side effect would the nurse include when teaching the client about doxepin?

-Urine retention -Suicidal ideation -Photosensitivity

At 10 AM the nurse hangs a 1000 mL bag of 5% dextrose in water with 20 mEq of potassium chloride to be administered at 80 mL per hour. At noon the healthcare provider prescribes a stat infusion of an intravenous antibiotic of 100 mL to be administered via piggyback over one hour. How much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion for infusion of the anabiotic?

1 hour

A pregnant client was exposed to a teratogen in her 10th week of gestation. Which nursing intervention would the nurse include in the plan of care?

Assure the client that the risk of malformation is greater in very early pregnancy

Which medications would the nurse identify as being used as preanesthetic agents?

Barbiturates Benzos

Which class of medication would the nurse anticipate preparing to administer to a client with alcohol dependence admitted to a detoxification unit?

Benzo

A client with a diagnosis of dementia of the Alzheimer's type has been taking donepezil 10 mg a day for 3 months. The client's partner calls the clinic and reports that the client has increasing restlessness and agitation accompanied by nausea. Which advice would the nurse give the partner?

Bring the partner to the clinic for testing and a physical examination

Which action would the nurse perform first when a health care provider prescribes milrinone for a client with congestive heart failure?

Have the prescription, dosage calculations, and pump settings checked by a second nurse

Which nursing action is appropriate when administering imipramine?

Having the client checked for increased intraocular pressure

And adolescent is prescribed phenylephrine nasal spray. The nurse would determine teaching has been effective when the adolescent identifies which complication that may occur if the sprays is used more frequently or longer than recommended?

Increased nasal congestion

Which medication identified by the nurse has an effect opposite to that of misoprostol?

Indomethacin

Which statement made by the nurse is correct regarding absorption of medications in pediatrics?

Infants have thinner skin and are at higher risk for toxicity when transdermal administration is used

A healthcare provider prescribes disulfiram for a client who abuses alcohol. Which action is associated with disulfiram?

It causes a severe adverse reaction if alcohol is consumed

The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. A parent asked the nurse why her child isn't being given ibuprofen which response by the nurse is most appropriate?

It could prolong, bleeding time

Which oxytocic medication may help control uterine bleeding post delivery and promote milk injection?

Oxytocin

The nurse identifies which antimicrobial medication's are safe during breast-feeding?

Penicillins Macrolides Cephalosporins

Which issues with the nurse identify as being associated with the difficulty in identification of teratogens?

-Teratogenic effects may be delayed -Prolonged medication exposure may be required -Animal test results may not be applicable to human

Which nursing assessment is the priority assessment prior to initiating an infusion of magnesium sulfate for a client with preeclampsia?

Respiratory rate

In which week of gestation with the nurse anticipate administering Rho D immune globulin to an Rh-negative client?

28 weeks

A client is prescribed a monoamine oxidase inhibitor (MAOI) for depression. The nurse includes teaching on foods and medications known to cause serious adverse effects when used in combination with MAOIs. Which adverse effect would the nurse include in the teaching plan?

A serious increase in blood pressure

The nurse is caring for a client receiving magnesium sulfate for preeclampsia. Which assessment finding would prompt the nurse to withhold the medication and notify the primary health care provider?

Absence of deep tendon reflexes

Which effect with the nurse assess for in a client with Alzheimer's disease who has been taking galantamine, and is newly prescribed paroxetine for depression?

Additive

A new mother asks the nurse why medicine is being put in her baby's eyes. Which infection would the nurse tell the mother it is given to prevent?

Chlamydia

Which intervention would the nurse include in the plan of care for a client receiving antibiotics and anti fungal medication for treatment of a vaginal infection?

Eat yogurt with active cultures daily

Betamethasone, 12 mg is prescribed for a client at 32 weeks gestation in active labor. Which response would the nurse give the client when asked why the medication is being given?

Fetal lung maturity is accelerated

A client with obsessive-compulsive disorder has an anxiety level that is approaching a panic level, and the clients ritual is interfering with work, and daily living. Which selective serotonin reuptake inhibitor would be considered when preparing a teaching plan?

Fluvoxamine

Which adverse effect would the nurse assess for in a client receiving haloperidol?

Gynecomastia

Which side effect with the nurse anticipate in a child receiving chelation therapy?

Hypocalcemia

Which clinical finding in a newborn indicates to the nurse that magnesium sulfate toxicity may have occurred?

Hypotonia

Which statement by the client receiving corticosteroids after a bilateral adrenalectomy indicates to the nurse that additional education is needed?

I am glad that I have to take the medication once a day

Which advice will the nurse include when discussing postoperative medication therapy with a client admitted to the hospital for a sub total thyroidectomy?

If you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased

A child with a viral infection was treated with aspirin and developed Reye syndrome. Which nursing intervention would be beneficial for this child?

Initiate hyperventilation

Which intervention would the nurse include in the plan of care for a client with breast cancer who received doxorubicin and cyclophosphamide 12 days ago and now has a white blood cell count of 1.4 and reports shortness of breath and activity intolerance?

Institute neutropenic precautions

Which response would the nurse give to a client who asks, "Why can't I take the insulin in pills instead of taking shots?" during a teaching session about insulin injections?

Insulin is destroyed by gastric juices, rendering it ineffective

Which route would the nurse use to administer dinoprostone for the termination of a pregnancy?

Intravaginal route

A client with endometriosis reports having hot flashes. Which of the clients medication's with the nurse identify as a cause of the side effect?

Leuprolide

Which antihistamine is considered safe for a woman who plans to breast-feed?

Loratadine

A client is exposed to a low concentration of a teratogen in her second week of pregnancy. The nurse would anticipate which to be the effect of the exposure on the fetus or child?

Normal growth of the fetus

Which medication is unsafe to administer as an intravenous (IV) bolus?

Potassium chloride

Which chemical with the nurse identify as being responsible for the occurrence of Braxton Hicks contractions during the final weeks of pregnancy?

Prostaglandins

A lactating woman is diagnosed with depression. Which is the medication of choice for this client if she wished to continue breastfeeding?

Sertraline

A parent complains that his child's teeth have yellowed. The nurse understands that with prolonged use, which medication may be responsible?

Tetracycline

Which action would be taken by the nurse caring for a client with type 1 diabetes mellitus who has a finger stick glucose level of 258 at bedtime and a prescription for sliding scale regular insulin?

Administer the insulin as prescribed

Which intervention would the nurse anticipate when caring for a postpartum parent who is AB negative, had a negative Coombs test, and delivered a neonate whose blood group is B positive?

Administering Rho D immune globulin intramuscularly to the parent within 72 hours of delivery

Which medication information requires a correction? -Androgens = premature puberty in males and reduced adult height -Aspirin = sudden infant death syndrome -Chloramphenicol = Gray's syndrome -Tetracycline = staining of developing teeth

Aspirin because it causes Reye syndrome in children with chicken pox or flu not sids

For which purpose would enoxaparin 40 mg subcutaneously daily be prescribed for a client who had abdominal surgery?

To provide prophylaxis against postoperative thrombus formation

A client with schizophrenia is started on a regimen of chlorpromazine. After a shuffling gait, tremors, and some rigidity develop, benztropine mesylate is prescribed. Which characteristics do these medication share?

Anticholinergic properties

Which statement with the nurse need to consider and developing the teaching plan for a client with type two diabetes prescribed an oral medication?

Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control

The nurse understands which medication is used as an ovulation stimulant that may cause multiple pregnancies?

Clomiphene

Which issue related to antibiotic use is an increased risk for the older adult?

Toxicity

The nurse teaches an adolescent about the side effects of azithromycin. The nurse determines the teaching has been understood when the adolescent identifies which problem is the most common side effect of this medication?

Diarrhea

The nurse understands which medication places a clients offspring at risk for vaginal cancer?

Diethylstilbestrol

The nurse understands which medication taken by a pregnant woman may show a delayed teratogenic effect in the offspring?

Diethylstilbestrol

The nurse is caring for a pregnant client who has contracted a trichomonal infection. For which oral medication with the nurse anticipate preparing to provide education?

Metronidazole

Which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client?

Misoprostol

A client abruptly stops taking a barbiturate. Which withdrawal complication with the nurse anticipate the client may experience?

Seizures

Which medication would the nurse administer transdermally to treat a client with major depression?

Selegiline

Which cautionary advice would the nurse give the client who has been prescribed olanzapine for a diagnosis of bipolar disorder, manic episode?

Sit up slowly

The nursing assessment of a client with severe preeclampsia who is receiving magnesium sulfate reveals a pulse rate of 50 beats per minute, a respiratory rate of 8 breaths per minute, and a flushed face. Which is the next nursing action?

Stopping the infusion and considering administering a reversal agent

Naloxone effectively reverses the clients respiratory depression from an overdose of heroin. Which rationale explains why the nurse will continue to closely monitor this client status?

Symptoms of the heroin overdose may return after the naloxone is metabolized

Which common, manageable side effect will the nurse assess for in a client receiving antipsychotic medication?

Unintentional tremor

Which anticipatory guidance would the nurse include when teaching an adolescent about side effects of dactinomycin and doxorubicin therapy?

Wear a baseball cap