Pharmacology Final

Children's mediations are measured by

Weight

A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? a. Administer the medication over 4 to 5 minutes b. Place the client in a high-Fowler's position c. Assess the client's pain level after administering the medication d. Review the client's last set of vital signs

a. Administer the medication over 4 to 5 minutes

A nurse is planning care for a client with thrombophlebitis who has a prescription to recieve heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? a. Infuse the heparin using an electronic IV pump b. Administer vitamin K if the client has indications of hemorrhage c. Adjust the dosage of heparin based on the client's PT levels d. Inform the client the heparin will dissolve the thrombus

a. Infuse the heparin using an electronic IV pump

A nurse is providing teaching to a client who rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? a. Stress fractures b. Orthostatic hypotension c. Gingival ulcerations d. Weight loss

a. Stress fractures

A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective? a. "I can take my water pill as prescribed." b. "I can experience an imbalance in my electrolytes from this medication." c. "I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters." d. "I can experience rebound constipation after using this medication."

b. "I can experience an imbalance in my electrolytes from this medication."

A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching? a. "You might notice. that you see better in dim areas." b. "You should increase your fluid intake." c. "You should expect to have excessive urination." d. "You might experience difficulty sleeping."

b. "You should increase your fluid intake."

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? a. Nitroglycerin b. Aspirin c. Morphine d. Metoprolol

b. Aspirin

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? a. Frequent use of steroids b. Chronic use of salicylates c. Intermittent use of antacids d. Habitual use of laxatives

b. Chronic use of salicylates (Aspirin overdose = tinnitus)

A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following adverse effects of the medication? a. Weight loss b. Peptic ulcer c. Hyperkalemia d. Diplopia

b. Peptic ulcer

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? a. Albuterol and montelukast b. Theophylline and zileuton c. Aminophylline and fluticasone d. Salmeterol and levalbuterol

b. Theophylline and zileuton

A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make? a. "This medication will decrease prostaglandins." b. "The amount of bicarbonate in your body will be increased." c. "This medication can decrease bacteria in the gastrointestinal tract." d. "This medication acts by increasing blood flow to the stomach."

c. "This medication can decrease bacteria in the gastrointestinal tract."

A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take? a. Place the client leaning forward in a chair b. Hold the medication dropper 2.5 cm (1 in) from the client's ear canal c. Pull the pinna of the client's ear upward and outward d. Have the client remain still for 30 seconds after the medication is administered

c. Pull the pinna of the client's ear upward and outward

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? a. Ibuprofen b. Naproxen c. Aspirin d. Acetaminophen

d. Acetaminophen

When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best way to set up the teaching/learning session? a. Provide written pamphlets for instruction. b. Show a video, and allow the patient to practice as needed on his own. c. Verbally explain the procedure, and provide written handouts for reinforcement. d. After demonstrating the procedure, allow the patient to do several return demonstrations.

d. After demonstrating the procedure, allow the patient to do several return demonstrations.

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? a. Hct 45% b. Hgb 15 g/dL c. aPTT 35 seconds d. INR 3.0

d. INR 3.0

Z-track method

used to minimize local skin irritation by sealing the medication in muscle tissue, aspirate 5-10 seconds.