Pharmacology

A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL should the nurse administer? (Fill in the blank with the numeric value only.)

45

A nurse is preparing to administer an enteral tube feeding through an NG tube at 250mL over 4 hours. The nurse should set the pump to deliver how many mL/hr? (Fill in the blank with the numeric value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)

63

A nurse in a provider's office is reinforcing teaching with a female client who has a new diagnosis of seizures and a prescription for valproic acid. Which of the following pieces of information should the nurse provide? A. "This medication can cause changes in your mood and behavior." B. "Valproic acid is one of the few seizure medications that can be taken during pregnancy." C. "You can expect this medication to cause you to lose weight." D. "Valproic acid should be taken every morning on an empty stomach."

A. "This medication can cause changes in your mood and behavior."

A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication? A. Bradycardia B. Jaundice C. Low blood pressure D. Dark urine

A. Bradycardia

A nurse is collecting data from a client who has taken methimazole for a thyroid disorder over the past month. Which of the following findings demonstrates an expected response to methimazole? A. Decreased body temperature B. Increased pulse rate C. Weight loss 3 lb (1.4 kg) D. Increased urine output

A. Decreased body temperature

A nurse is preparing to administer the varicella vaccine to a 12-month-old infant has any allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine? A. Gelatin B. Milk C. Eggs D. Peanut

A. Gelatin

A nurse is caring for a client who is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room? A. Grapefruit juice B. Hardboiled eggs C. Coffee D. Oatmeal

A. Grapefruit juice

A nurse is reinforcing teaching about benzodiazepines with a client who is discontinuing long-term use of alprazolam. Which of the following pieces of information should the nurse include in the teaching? A. "You might experience somnolence." B. "Plan to taper the dose slowly over several months." C. "Call the provider if you have muscle weakness." D. "Confusion is common during this process."

B. "Plan to taper the dose slowly over several months."

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membranes? A. Protein-binding ability B. Lipid solubility C. Hepatic metabolism D. Slow dissolution

B. Lipid solubility

A nurse is reinforcing medication teaching to a client who has a new diagnosis of rheumatoid arthritis. Which of the following medications in the therapy regimen will take weeks to months to be effective? A. Ibuprofen B. Methotrexate C. Prednisone D. Celecoxib

B. Methotrexate

A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following? A. Pharmacodynamic tolerance B. Placebo effect C. Metabolic tolerance D. Tachyphylaxis

B. Placebo effect

A nurse in a provider's office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription for finasteride. Which of the following statements by the client indicates an understanding of the teaching? A. "I should expect my urinary problems to improve within a couple of weeks." B. "It will be great to have a stronger sex drive." C. "I will skip donating blood while I am taking this medication." D. "I won't have to worry about getting cancer while taking this medication."

C. "I will skip donating blood while I am taking this medication."

A nursing is reinforcing teaching with a newly licensed nurse about the care of a client who is receiving patient-controlled analgesia (PCA). Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? A. Assessing the client's vital signs every 6 hours B. Instructing the client's family to press the PCA button when the client is asleep C. Asking a second nurse to check the PCA setting D. Administering the PCA through a free-flow infusion system

C. Asking a second nurse to check the PCA setting

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? A. Gouty arthritis B. Dehydration C. Diabetes insipidus D. Hypokalemia

C. Diabetes insipidus

A nurse is caring for a client who has chronic renal failure and has developed anemia. Which of the following medications should the nurse expect the provider to prescribe? A. Calcium acetate B. Vitamin D C. Erythropoietin D. Diphenhydramine

C. Erythropoietin

A nurse is reviewing new medication prescriptions for 4 clients. Which of the following prescriptions should the nurse verify with the provider? A. Pancrelipase 500 units/kg/meal PO tid, give immediately before meals B. Metoprolol 50 mg PO daily, hold for heart rate <50/min C. Ranitidine 300 mg PO, on call from surgery D. Enoxaparin 30 mg subQ 2 times daily

C. Ranitidine 300 mg PO, on call from surgery

A nurse is reinforcing teaching with a female client about vitamin A supplementation. Which of the following client statements indicates an understanding of the teaching? A. "Vitamin A supplements are usually prescribed during pregnancy." B. "Vitamin A can be taken in high doses because it is water-soluble." C. "Vitamin A is encouraged for women who have osteoporosis." D. "A deficiency of vitamin A can cause night blindness."

D. "A deficiency of vitamin A can cause night blindness."

A nurse is collecting data from a client who has been taking simvastatin to hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately? A. "I have had occasional constipation." B. "I have had some gas." C. "My head has been hurting on some days." D. "My legs feel weak and achy."

D. "My legs feel weak and achy."

A nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention? A. Reinforcing the client how to administer a PC a dose prior to a dressing change B. Providing increased fluids while the client is using a PCA pump C. Informing the clients partner that only the client should administer the PCA doses D. Maintaining the client on bed rest for the PCA pump is in use

D. Maintaining the client on bedrest while the PCA pump is in use

A nurse is collecting data from a client who is receiving ropinirole to treat restless leg syndrome. Which of the following findings should indicate that the client is having a potential allergic reaction to the medication? A. Dizziness B. Dry mouth C. Sweating D. Mild rash

D. Mild rash

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching? A. Store the vials in the freezer B. Store the vials at room temperature C. Store the vials by a window D. Store the vials in the refrigerator

D. Store the vials in the refrigerator

A nurse reinforcing teaching about how to take donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include? A. "You should chew the medication thoroughly prior to swallowing." B. "You should take this medication late in the evening." C. "You should take this medication with food." D. "If you miss taking a dose for a day, take 2 doses the following day."

B. "You should take this medication late in the evening."

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor? A. Insomnia B. Diarrhea C. Joint pain D. Polycythemia

B. Diarrhea

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications? A. Epinephrine B. Nitroglycerin C. Lidocaine D. Atropine

B. Nitroglycerin

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has been taking tiotropium. Which of the following client statements should should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. "My body aches all over." B. "I am urinating more during the day." C. "My mouth feels dry all the time." D. "I have trouble sleeping at night."

C. "My mouth feels dry all the time."

A nurse is caring for a client who has a dry, nonproductive cough. Which of the following types of medication should the nurse recommend? A. Expectorant B. Mucolytic C. Bronchodilator D. Antitussive

D. Antitussive

A nurse is collecting data from a client who is taking vasopressin for diabetes insipidus. Which of the following findings should the nurse identify as a manifestation of water intoxication associated with this medication? A. Anxiety B. Urinary frequency C. Weight loss D. Headache

D. Headache

A nurse is reinforcing teaching with a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll apply the patch over areas of my body with little fatty tissue." B. "I can't place the patch on any area of my body without hair." C. "I'll put the patch on the same side as the previous patch." D. "I have to apply the patch directly over my heart."

B. "I can't place the patch on any area of my body without hair."

A nurse is reinforcing teaching with a client who has a prescription for chenodiol for the treatment of gallstones. Which of the following client statements indicates an understanding of the teaching? A. "Treatment should last for a couple of months." B. "Liver function tests are required while taking this medication." C. "I should contact my provider if I experience diarrhea." D. "I can continue to take this medication if I become pregnant."

B. "Liver function tests are required while taking this medication."

A nurse is reinforcing teaching with a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? A. "You can lie down 15 minutes after taking this medication." B. "Take this medication on an empty stomach." C. "Crush this medication to improve absorption." D. "Avoid taking antacids or supplements that contain calcium while taking this medication."

B. "Take this medication on an empty stomach."