Pharm test 3

The nurse is reviewing the health history of a client who has migraine headaches and is to the begin prophylaxis therapy with propranolol which of the following findings in client history should the nurse report to the provider

An ECG indicates a first-degree heart block

A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contradiction for taking propranolol

Asthma

A nurse in the operating room is caring for a client who received a dose of Succinylcholine during the operation the client suddenly developed originally in his body in temperature begins to rise the nurse should anticipate a prescription for which medications

Dantrolene

Nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis the nurse should monitor the client for which of the following adverse reactions to this medication

Delirium

A nurse is caring for a client who has a prescription for Bethanechol to treat urinary retention the nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation

Excessive perspiration

A nurse is caring for a client who is receiving moderate sedation with the diazepam IV the client is oversedated which of the following medications of the nurse anticipate administering to the client

Fluemezil

A nurse is teaching a client who has a new prescription for ramelteon the nurse should instruct the client to avoid which of the following foods while taking this medication

Fried Chicken

A nurse is reviewing the healthcare record of a client reports urinary incontinence and asked about a prescription for oxybutynin the nurse should recognize that oxybutynin is contradicted in the presence of which of the following conditions

Glaucoma

A nurse is completing a nursing history for a client who takes Simvastatin the nurse should identify which of the following disorders as a contra indication to adding ezetimibe to the clients medication

Hepatitis C

The nurse is caring for a client who has a new prescription for niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of niacin

Hyperglycemia flushing Hyper glycemia the skin Jaundice

A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms which of the following statements by the client indicates an understanding of the teaching

I know the doctor will gradually increase my dose of this medication for a while I should increase fiber to prevent constipation from this medication I won't be able to drink alcohol while I'm taking this medication

A nurse is providing teaching to a client is experiencing migraine headaches. Which of the following instruction to the nurse provide

Identify and avoid trigger factors Lie down in a dark quiet room at the onset of a migraine Avoid foods that contain tyramine

A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam the nurse should inform the client that which of the following manifestations are adverse affects of temazepam

Incoordination sleep driving amnesia

A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include

Increase the amount of dietary fiber in the diet

A nurse is collecting data from a client who is taking gemfibrozil which of the following assessment findings should the nurse identify as adverse reaction to the medication

Jaundice

A nurse is planning care for a client who is to receive tetracaine prior to a bronchoscopy which of the following actions should the nurse include in the plan of care

Keep client NPO until pharyngeal response returns

A nurse is caring for a client who has a new prescription for Captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of the medication

Neutropenia

A nurse is providing instructions to a female client who has a new prescription for zolpidem. Which of the following instructions of the nurse include

Notify your provider if you plan to become pregnant

A nurse is providing teaching to a client who has a migraine headache and a new prescription for ergotamine. For which of the following adverse effects should the nurse instruct the client to stop taking the medication and notify the provider

Positive home pregnancy test numbness and tingling in the fingers muscle pain

A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following pre-existing conditions can be a contra indication for the use of ketamine as an intravenous in aesthetic

Schizophrenia

A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam which of the following instructions should the nurse include in the teaching

Take colesevelam with food and at least one glass of water

A nurse is providing teaching to a client who is starting simvastain which of the following information should the nurse include in the teaching

Take this medication in the evening

A nurse is planning to administer a first dose of Catapril to a client with hypertension. Which of the following medications can intensify the first is a hypotension

hydrochlororothiazide clonidine Aliskiren

A nurse in post anesthesia care unit is caring for a client who is experiencing malignant hyperthermia which of the following action should the nurse take

place a cooling blanket on the patient Administer oxygen at 100% Administer iced .9% sodium chloride Monitor core body temperature

Nurse is caring for a client receives a local anesthetic of lidocaine during the repair of a skin laceration for which of the following adverse reactions to the nurse monitor the client

seizure