Practice A Pharm
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first?
A client who is attending post operative physical therapy and requests pain medication.
A nurse is preparing to administer diphenhydramine 50 mg po at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5ml PO. Which of the following nursing actions requires the completion of an incident report.
Administering 25ml of the syrup
A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication?
Agranulocytosis
A nurse is reinforcing teaching w/ a client who has helicobacter pylori and a new prescription for tetracycline. Which of the following instructions should the nurse include in the teaching ?
Avoid prolonged exposure to sunlight.
A nurse is collecting data from a client who is recieving a digoxin for treatment of heart failure. The nurse should identify which of the following findings as an adverse effects of this medication?
Blurred vision, Nausea , and dysrhythmia.
A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following lab findings should indicate to the nurse that the medication has had a therapeutic effect.
Correct T4
A nurse is caring for a client who has MS and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect.
Decreased muscle spasticity.
A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take ?
Determine the clients daily alcohol intake..
A nurse is reinforcing teaching w/ a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over the counter medications is contraindicated while taking oxycodone.
Diphenhydramine.
A nurse is collecting from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for recie
Gelatin
A nurse is reinforcing teaching w/ the parent of a preschooler who has otitis media. The child has had a low grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching?
Give acetaminophen as needed for discomfort and fever
A nurse is collecting data from the parent of an 11 year old child who has previously received all the immunizations in accordance w/ the CDC recommended immunization schedule. Which of the following immunizations should the nurse plan to administer to this child at this age.
HPV
A nurse is reinforcing teaching about Benzodiazepine withdrawal w/ an older adult Client who discontinued taking lorazepam after taking it for 3 months. Which of the following instruction
Have someone assist you with ADLS.
A nurse is collecting data from a client who is taking about celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib.
History of MI
A nurse is caring for a client who has new prescription for eplenornone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication ?
Hyperkalemia
A nurse is reinforcing teaching w/ a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching ?
I will be sure to have my blood tested for anemia
a nurse is reinforcing teaching w/ a client about the use of sublingual nitroglycerin for chest pain. which of the following statements by the client indicates an understanding of the teaching ?
I will call 911 if my chest pain is not relieved within 5 min of taking nitroglycerin
A nurse is reinforcing teaching w/ a client who has new prescription for ethinyl estradiol/ norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching ?
I will take the medication at the same time each day.
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicates to the nurse an understanding of the teaching.
I will take the medication w/ 8 ounces of water
A nurse is reinforcing teaching w/ client who has a new prescription for propranolol. Which of the following information should the nurse include in the teaching ?
If your pulse rate is less than 50 BPM notify your provider.
A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?
Increased tolerance to exercise.
A nurse is caring for a client who has a prescription for a hydromorphone 2mg immediate release tablet by mouth. The nurse administers a 4 mg immediate release tablet by mistake. Which of the following actions should the nurse take first ?
Obtain the clients Vital signs and level of consciousness.
A nurse is reviewing the history of a client who is start taking cefotetan to treat a bacterial infection. Which of the following information from the clients medical record should the nurse report to the provider before the client begins receiving this medication..
Penicillin allergy
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops.
Press the nasolacrimal duct.
A nurse is collecting data from a female client who has been taking (PTU) for 2 months to treat Graves disease. Which of the following findings should the nurse recognize as an indication that the medication is effective.
Pulse 82/min
A nurse is reinforcing teaching about comfort measures with the parent of a 10 year old child who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated because of the risk for which of the following conditions?
Reyes syndrome.
A nurse is planning to administer metoprolol to a Client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take.
Withhold the clients medication.
A nurse is reinforcing teaching w/ a female client who has a new prescription for isotretonin. Which of the following instructions should the nurse include in the teaching.
You will need to have your liver enzymes monitored after 1 month. You can have nose bleeds while taking this medication. You should report any thoughts of harming yourself. You will need to to have two negative pregnancy tests prior to starting the medication.
A nurse is reinforcing teaching w/ a client who has seizures and a new prescription for valproic acid. the nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider.
abdominal pain
A client comes to an urgent care clinic and announces w/ great enthusiasm, " I am an expert at all things medical as they apply to me, and I require zolpidem. " The clients pupils are dilated, along w/ an elevated heart rate and BP level. The nurse should suspect intoxification with which of the following substances.
cocaine
A nurse is collecting data from a client who has parkinsons disease and is taking levodopa/ carbidopa. The nurse should identify which of the followings findings as an adverse effect of this medication
dark urine
A nurse is reinforcing teaching w/ a client who has a new prescription for etanarcept to treat rheumatoid arthritis. Which of the following instructions about self administering this medication should the nurse include?
discard any solutions
A nurse is reviewing the lab results of a client who takes insulin for the management of diabetes mellitus. Which of the following findings should indicate to the nurse the medication is effective?
fasting blood glucose 100 mg/dl
A nurse is reviewing medication for a group of of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error?
furosemide 10.0 mg PO daily.
A nurse is monitoring a client who is receiving repaglinade for type 2 diabetes mellitus. Which of the following lab tests should the nurse plan to review to obtain information about the long term therapeutic effect of this medication.
glycosylated HbA1c
A nurse is caring for a client who has chronic kidney disease and has been recieving epoetin alfa for 2 weeeks. Which of the following findings should indicate to the nurse that the clients meds is having a desired therapeutic effect?
hemoglobin rises 0.5 g/dl
A nurse is assisting w/ the care of a client who has MRSA infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as the priority finding to report to the provider.
hypotension
A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication ?
inform the client to apply sunblock before going outside
A nurse is reinforcing teaching w/ a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching ?
maintain a consistent sodium intake.
A nurse is reinforcing teaching w/ a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider.
muscle pain
A nurse is collecting data from a client who is post op and is taking morphine for pain. Which of the following findings is the priority for the nurse to report to the provider?
oxygen saturation 87%
A nurse is reviewing the medical record of a client who has a new prescription for cephalexin to treat pneumonia. Which of the following data should the nurse report to the provider before the client receives this medication
penicillin allergy
A nurse is reinforcing teaching w/ a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching?
restrict foods high in potassium
A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client temperature increases to 39.1 (102.4) which of the following actions should the nurse take first
stop the transfusion
A nurse is reinforcing teaching w/ a client who has a new prescription for omeprazole oral capsule. Which of the following instructions should the nurse include ??
swallow the medication whole.
A nurse is caring for a client who has new prescription for sumatriptan. The nurse notes that the clients takes flouxetine. The nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects?
tremors
A nurse is planning to reinforce teaching regarding new born immunizations w/ a client who is 24 hr postpartum. Which of the following information should the nurse plan to include ?
your baby will receive the first hepatitis B vaccine before discharge.