Practice pharmacology A

a nurse is caring for the parent of a newborn the parent asks the nurse when her newborn should receive their first diphtheria tetnus and pretussiss vaccine

2 months

a nurse is planning care for a client who has HTN and is to start metoprolol. which teaching should the nurse include in plan of care.

Determine apical pulse prior to administering

a nurse is teaching a client about warfarin. the client asks if they can take aspirin while taking warfarin which of the following responses should the nurse make

"Aspirin will increase the risk of bleeding"

a nurse at an urgent care clinica is collecting a history from a female client who has a uti the nurse anticipates a prescription for ciprofloxacin. the nurse should indentify that which of the following client statements indicates a contraindication for administering this medication

"I have tendonitis so I havent been able to exercise"

a nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. which of the following statements show understanding

"I should tell provider if I develop a sore throat"

a nurse is teaching a client about cyclobenzaprine which of the following statements should indicate the client understands

"I will taper off medication before discontinuing it"

A nurse is caring for a client acute alcohol withdraw. Why should nurse administer chlordiazepoxide

Prevent delirium tremens

a nurse is caring for a client who has cancer and is taking morphine and docusate sodium. the nurse should instruct the client that taking the docusate sodium daily can minimize the adverse effect of morphine

constipation

a nurse in an emergency dept is caring for a client who has myasthenia gravis and is in a cholonergic crisis. which of the following meds should the nurse plan to administer

atropine

a nurse is planning care for a client who is receiving mannitol via continuous IV infusion. the nurse shoudl monitor the client for which of the following adverse effects

bibasilar crackles

a nurse is providing teaching to a client who has multiple sclorosis and a new prescription for methylprednisolone which of the following instructions should the nurse include

blood glucose levels will be monitored avoid contact with ppl who have known infections grapefruit juice can increase the effects of the medication

a nurse is caring for a client who is receiving heparin therapy thru IV infusion to treat pulmonary embolism which finding should the nurse report to the provider

blood in urine

a nurse is reviewing the medication list of the client who wants to begin taking oral contraceptives the nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives

carbamazepine

a nurse is teaching a client who is taking hydrocodone with acetominophin for pain. which info should nurse include in teaching

decreased respiration rate

a nurse is reviewing the medication administration of a client who has hypercalcemia and a new prescription for iv calcium gluconate the nurse should identify that which of the following medications can interact with calcium gluconate

digoxin

A nurse is preparing the administer medications to a client who tells the nurse, "I dont want to take my fluid pll until i get home today" which action should nurse take

document the refusal and notify the clients provider

a nurse is providing teaching to a client who is to begin taking oxybutynin for uti which of the following adverse effects should the nurse include in the teaching

dry mouth, blurred vision, dry eyes

a nurse is administering donepezil to a client who has alzeihemers disease. which of the following findings shoul the nurse report to the provider

dyspnea

a nurse is adminsitering a second dose of cefazolin IV. client has anxiety, hypotension, dyspnea which of the following should be given first

epinephrine

a nurse in a emergecny dept is caring for client whose family reports the client has taken large amounts of diazepam which of the following medications should the nurse anticipate administering

flumazenil

a nurse is assessing a clients vital signs prior to administering digoxin the heart rate is 55/min. the client should notify the provider

heart rate

a nurse is teaching a client who is the begin taking tamoxifen for the treatment of breast cancer which of the following adverse effects should the nurse include in the teaching

hot flashes

a nurse is collecting a medication hx from a client who has new prescrition for lithium the nurse should identify that the client should discontinue which of the following otc medication

ibuprofen

a nurse is assessing a client taking propylthiouracil for the treatment of graves disease

increase the ability to focus

a nurse is caring for a client who is receiving filgrastim. which of the following findings should the nurse document to indicate the effectiveness of the therapy

increased neutrophil count

a nurse is providing teaching to client taking bupropion to quit smoking. which of the following findings should the nurse identify as an adverse effect

insomnia

a nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia which of the following actions should be nurse plan to take

monitor the client for constipation

a nurse in an emergency dept is caring for a client who is heroin toxic. the client is unresponsive with pinpoint pupils and a rr of 6/min which of the following meds should nurse administer

naloxone

a nurse is preparing to administer medication to a client who has gout. the nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol which of the following actions should the nurse take first

obtain the clients blood pressure

a nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma the nurse should include that the spacer decreases the risk of which adverse effects

oral candidiasis

a nurse is reviewing the lab results for a client who is receiving heparin via continuous iv infusion for DVT. the nurse should discontinue the medication infusion for which of the following client findings?

platelets 96,000/mm^3

a nurse is reviewing the lab results for a patient on digoxin. the nurse should report what to the provider

potassium level 2.8 mEg/L

a nurse is caring for a 20 year old female who has a rx of isotretinoin for sever nodulocystic acne vukgaris. before the client can obtain a refill what must be ruled out

pregnancy test

a nurse is developing a teaching plan for a client who has a new prescription of simvastatin which of the following instructions should the nurse include in the teaching plan

report muscle pain to the provider, avoide grapejuice, expect lifelong therapy

a nurse is planning care for a client who is prescribed metoclopramide following bowel surgery for which of the following adverse effects should the nurse monitor

sedation

a nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression which finding should the nurse identify as an adverse effect

sexual dysfunction

a nurse is providing teaching to a client who has a prescription for erfotamine subligual to treat migraine headaches whch of the following indo should the nurse include

take one tablet at the onset of migraine

a nurse is assessing a client who has schizophrenia and is taking halperidol the nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)

temperature of 39.7 C (103.5F)

a nurse in an acute care unit is caring for a client who is receiving gentamicin IV. the nurse should report which of the following findings to the provider as an adverse effect of the medication

tinnitus

a nurse is providing teaching a client with a gasrtic ulcer about famotidine.

yellowing of the skin

a nurse is instructing a client on the application of nitroglycerin transdermal patches which of the following statements should indicate understanding

"I will take the patch off right after my evening meal"

a nurse is providing teaching to a client to start treatment for asthma with beclomethasone and albuterol inhalers what should be in teaching

"Rinse your mouth after inhaling the beclomethasone"

a nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of 8 hr how should the nurse document this

0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified

a nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in drawer the nurse should identify that administration of the medications can occur at which of the following time periods whotuout requiring an incedent report

0830

A nurse is teaching a client about the use of resedronate for the treatment of osteoporosis

I should sit up for 30 minutes

A nurse is assessing a client for I hr. After administering morphine. The nurse should identify which of the following findings

The client rates pain as 3 on a scale of 0 out of 10

a nurse is teaching a group of unit nurses about medication reconcilliation. which of the following info should the nurse include in the teaching

a transition in care requires the nurse to conduct medication reconcilliation

a nurse is caring for a client who has acute acetaminophen toxicity. the nurse should administer which of the following

acetylcysteine

a nurse is preparing to administer heparin subcut to a client which of the following actions should the nurse plan to take

administer the medication outside the 5-cm (2-in) radius of the umbilicus

a nurse administers metformin instead of metoclopramide. which of the following actions should the nurse take first?

check clients blood glucose

a nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription sucralfate which of the following actions of sucrafate should the nurse include in the teaching

forms a protective barrier over ulcers

a nurse is assessing a client who has myasthenia gravis and is taking neostigmine which of the following findings should indicate the client is having adverse effect

miosis

a nurse receives a verbal order from the provider to asminister morphine five milligrams every 4 hours subq for severe pain as needed.

morphine 5 mg subcut every 4 hr PRN severe pain

a nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure the nurse should identify which of the following findings as an indication of hypokalemia

presence of U waves

a nurse is providing teaching to a patient taking tranmucosal fentanyl rasberry flavored lozenges on a stick

store unused medication stick in a storage container

a nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. the nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

the clients capnography has returned to baseline

a nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. for which of the following adverse effects should the nurse instruct the client to monitor and report?

tingling of fingers