Saunders- Pharmacology pt 2

A client diagnosed with peptic ulcer disease is prescribed an over-the-counter antacid suspension containing aluminum hydroxide, magnesium hydroxide, and simethicone. What should the nurse include in the client instructions for time of administration of this medication? 1.Just before each meal 2.An hour before breakfast 3.1 and 3 hours after meals 4.Immediately after each meal

1 and 3 hours after meals

Laboratory analysis of a urine sample for culture and sensitivity reveals a bacterial infection, and the client is diagnosed with cystitis. Nitrofurantoin is prescribed for the client. Which is the priority nursing assessment before administering this medication? 1.Checking lung sounds 2.Checking the blood pressure 3.Checking the apical heart rate 4.Checking the bowel sounds in all 4 quadrants

1

A client taking metronidazole calls the home health nurse to report dark discoloration to the urine. The nurse interprets that the client's complaint warrants which nursing action at this time? 1.Instruct the client to increase fluid intake. 2.Tell the client to discontinue the medication. 3.Tell the client that this is a harmless medication side effect. 4.Instruct the client to call the primary health care provider (PHCP).

3

A client with a urinary tract infection (UTI) is given a prescription for levofloxacin. The nurse should provide the client with which information about this medication? 1."You may experience altered taste." 2."You may get dizzy, so move around slowly." 3."Pain in the back of the leg should be reported." 4."Your urine may become dark and if it does, you should call your primary health care provider."

3

The nurse has a prescription to administer bethanechol chloride subcutaneously. Before giving this medication, the nurse checks to ensure that which condition is not noted in the client's history? 1.Asthma 2.Lung infection 3.Hypothyroidism 4.Urinary retention

asthma

Nitrofurantoin is prescribed for a client with urinary tract infection. The nurse is instructing the client regarding the administration of the medication. Which information about the best time to take this medication should be included in the client's education? 1.At bedtime ' 2.With meals 3.One hour before the dinner meal 4.In the morning, 2 hours after breakfast

at bedtime

A client being admitted to the nursing unit has been taking bethanechol chloride at home. During the admission assessment, the nurse gives special attention to assessing the client for which side and adverse effect of this medication? 1.Dry mouth 2.Bradycardia 3.Constipation 4.Hypertension

bradycardia

The nurse, who is administering bethanechol chloride, is monitoring for cholinergic overdose associated with the medication. The nurse should check the client for which sign of overdose? 1.Dry skin 2.Dry mouth 3.Bradycardia 4.Signs of dehydration

bradycardia

Propantheline bromide is prescribed for a client with bladder spasms. Which disorder, if noted in the client's record, should alert the nurse to question the prescription for this medication? 1.Glaucoma 2.Myxedema 3.Hypothyroidism 4.Coronary artery disease

glaucoma

Ciprofloxacin is prescribed for a client with a Pseudomonas aeruginosa infection of the urinary tract. The primary health care provider (PHCP) should be questioned by the nurse about the prescription if which underlying condition is noted in the client's record? 1.Osteoarthritis 2.Diabetes mellitus 3.Myasthenia gravis 4.Chronic obstructive pulmonary disease (COPD)

myasthenia gravis

A client with acute pyelonephritis who was started on antibiotic therapy 24 hours earlier is still complaining of burning with urination. The nurse should anticipate that the primary health care provider will prescribe which medication? 1.Phenazopyridine 2.Oxybutynin chloride 3.Bethanechol chloride 4.Propantheline bromide

phenazopyridine

Oxybutynin chloride is prescribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication? 1.Pallor 2.Drowsiness 3.Bradycardia 4.Restlessness

restlessness

Parenteral bethanechol chloride is prescribed for a client with urinary retention. The nurse should plan to administer this medication by which route? 1.Intravenously 2.Intradermally 3.Intramuscularly 4.Subcutaneously

subcutaneously

Tamsulosin hydrochloride is prescribed for a client. The nurse should suspect that this medication is prescribed to relieve which condition? 1.Constipation 2.Muscle spasms 3.Urinary obstruction 4.Respiratory congestion

urinary obstruction