pn pharmacology online practice 2020 B

a client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has e prescription for morphine I5 mg orally every 4 hr. The clients adult children express concern that the client is receiving too much of the

'The dose should remain constant to prevent breakthrough pain."

A nurse is preparing to administer cefazolin 1 g in 100 mL 0.9% sodium chloride to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50

A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain' The nurse should notify the provider of which of the following findings before administering this medication

Benign prostatic hyperplasia

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. which of the following conditions in the client's medical record should the nurse report to the provider?

Benign prostatic hyperplasia

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take?

Dispose of the medication with a second nurse as a witness.

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Dry cough

A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocampramised. which of the following vaccines should the nurse identify as contraindicated for this client?

Measles, mumps, and rubella (MMR)

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self- administer NPH insulin' Which of the following client actions indicates an understanding of the teaching?

The client wipes the cap with alcohol prior to filling the syringe.

A nurse is caring for a client who is receiving methylprednisolonet which of the following laboratory values should the nurse plan to monitor? (select all that apply.)

[] white blood cell count []serum potassium is correct []blood glucose

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

abdominal pain

A nurse is caring for a client who has genital herpes. which of the following medications should the nurse expect to administer?

acyclovir

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications

albuterol

A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. which of the following actions provides the nurse with the priority data to determine the client's need for analgesia?

ask the client to rate their pain

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

chest tightness

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone' which of the following findings indicates a therapeutic effect of the medication?

clear bilateral breath sounds

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

diarrhea

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should :he nurse take?

document the notification of the clients provider

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxalole-trimethoprim. Which of the following medications should the nurse identify as cantraindicated for this client?

frusomeide

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin ta treat a pulmonary infection which. of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin.'

furosemide

A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. which of the following manifestations should the nurse expect as an adverse effect of this medication?

headache

A nurse is monitoring a client when has been receiving long-term hydrochlurothialide therapy for recurring episodes of heart failure. which of the following findings should me nurse identify as an adverse effect of this medication?

hypokalemia

A nurse is assisting with collecting data (or a client who is in preterm labor and is receiving magnesium sulfate via continuous iv infusion. which of the following findings should the nurse identify as an indication of magnesium toxicity?

hyporeflexia

A nurse is evaluating a client who is receiving amphotericin 8 Via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication?

hypotension

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine, The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements?

i am allergic to neomycin

A nurse is reinforcing teaching with a client who has a new prescription for tirnoiai eye drops to treat glaucoma. which of the following client statements indicates an understanding of the teaching?

i will look up when putting the medication into my eyes

A nurse is reinforcing teaching with a client who has a new prescription for a flulicasone inhaler. which of the following client statements indicates an understanding of the teaching?

i will rinse my mouth after i use this inhaler

A nurse is reinforcing teaching with a client who recently began taking furosemides Which oi the following instructions should the nurse include in the teaching?

increase dietary potassium while taking the medication

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. which of the following information should the nurse include in the teaching?

increase fluid intake

A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication?

increased HGB

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?

massage your nose gently after medication administration

A nurse is collecting data from a client who is taking tobramycin, which of the following findings should the nurse report to me provider immediately?

oliguria

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

peripheral edema

A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider?

respiration rate 11/min

A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. which of the following adverse reactions is the priority finding to report to the provider?

respiratory depression

A nurse is collecting data from a client who has been taking levodopa/carlaidopa. which of the following findings should indicate to the nurse that the medication is effective?

the client is able to wash their face

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transderrnal patch. which o fthe following statements by the client indicates an understanding of the teaching?

while using this patch i will be carefull when rising from a chair

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine, which of the following foods should the nurse include in the teaching as an appropriate land choice?

yogurt

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered—dose inhaler (MDI). Which of the following information should the nurse include in the teaching?

"Take a s'ow, deep breath lasting 3 to 5 seconds after releasing the medication."

A nurse is preparing to administer phenobarbital 3 mg/kg P0 twice a day to a school-age child who weighs 44 lb, Available is phenobarbital elixir 20 mg/5 mL, How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

15

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? (Select all that apply.)

[] muscle pain []hyperventilation [] Dizziness

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider?

apical pulse of 52

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication?

drowsiness

A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?

fasting blood glucose level

A nurse is reinforcing teaching with a client who has a prescription for scopolarnine transderrnal patches to prevent motion sickness. which of the following statements by the client indicates an understanding of the teaching?

i should place the patch behind my ear

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority?

implement seizure precautions.

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

improved social interactions

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. which of the following findings should me nurse report to the provider?

slurred speech

A nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

sore throat

A nurse is collecting data from a client who has been taking digoxin for I month The nurse should identify which of the following findings as a manifestation of digoxin toxicity?

vomiting

A nurse on a medical-surgical unit is preparing to administer medications to a client which of the following questions should the nurse ask the client to verify the client's identity?

what is your phone number