Edison Pharm Test (4)

571. The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action?

2. Refrigerate the Insulin Insulin in unopened vials should be stored under refrigeration until needed. Never freeze.

656. A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?

2. Report yellow eyes or skin immediately Isoniazid is hepatotoxic

530. Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?

3. Measure the client's current weight and height Don't ask, may be inaccurate

696. A client is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving a tissue plasminogen activator, alteplase. which action is a priority nursing intervention?

3. Monitor for signs of bleeding Hemorrhage is a complication of this class of medication

468. A health care provider's prescription reads "ampicillin sodium 125 mg IV every 6 hours." The medication label reads "when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1 g / 7.4 mL." The nurse prepares to draw up how many milliliters to administer 1 dose?

4. 0.925mL

471. Penicillin G procaine, 1,000,000 units IM (intramuscularly), is prescribed for a child with an infection. The medication label reads "1,200,000 units per 2 mL." The nurse has determined that the dose prescribed is safe. The nurse administers how many milliliters per dose to the child?

4. 1.7mL

652. A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication?

4. Bronchospasm Other undesirable effects are cough, nasal congestion, throat irritation, and wheezing

543. A client wit non-Hodgkin's lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

4. Crackles on auscultation Cardiotoxicity - abnormal ECG findings or Cardiomyopathy - looks lie HF (lung crackles) are adverse effects

658. The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding?

4. Difficulty in discriminating the color red from green

342. Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse should contact the health care provider who prescribed the medication if which condition is document in the client's medical history?

4. Peripheral vascular disease Contraindicated in PAD, cardiovascular disease, hypertension, preeclampsia, and eclampsia

622. A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

4. Vomiting following cancer chemotherapy Is a gastrointestinal stimulant and antiemetic

496. Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse?

4. White blood cell count of 3000mm3 (3.0 x 10^9/L) Adverse effects: rash and itching, blue-green or gray skin discoloration, leukopenia, and interstitial nephritis

500. The nurse is applying a topical corticosteroid to a client with eczema. The nurse should apply the medication to which body area? Select all that apply

1. Back 4. Soles of feet 5. Palms of the hand Less permeable

820. Allopurinol Is prescribed for a client and the nurse provides medication instructions to the client. which instruction should the nurse provide?

1. Drink 3,000 ml of fluid a day

740. A client with a urinary tract infection is receiving ciprofloxacin by the intravenous (IV) route. The nurse appropriately administers the medication by performing which action?

1. Infusing slowly over 60 minutes Minimizes discomfort and prolongs vein viability

918. a client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?

1. Toxic

574. The health care provider (HCP) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention?

1. Withhold the medication and call the HCP, questioning the prescription for the client

473. Atropine sulfate, 0.6 mg intramuscularly, is prescribed for a child preoperatively. The nurse has determined that the dose prescribed is safe and prepares to administer how many milliliters to the child? Fill in the black (refer to figure).

1.5mL

582. The nurse is providing instructions to the client newly diagnosed with diabetes mellitus who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching?

2. "Take your prescribed pills 1 hour before or 2 hours after the injection"

728. The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. which instruction should be included in the list?

2. Drink 8 to 10 glasses of water per day

796. The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?

2. Monitor bowel activity

845. Ketoconazole Is prescribed for a client with a diagnosis of candidiasis. which interventions should the nurse include when administering this medication? select all that apply

2. Monitor liver function studies 3. Instruct the client to avoid alcohol 5. Instruct the client to avoid exposure to the sun

335. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? Select all that apply

2. Respirations of 10 breaths/minute 4. Urine output of 20 mL in an hour

581. The nurse should tell the client, who is taking levothyroxine, to notify the health care provider (HCP) if which problem occurs?/

2. Tremors Excessive dosing can lead to S&S of hyperthyroidism

690. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic

2. activated partial thromboplastin time of 60 seconds Normal PTT 30-40 sec

827. The nurse is administering an intravenous dose of methocarbamol to a client with multiple sclerosis. For which adverse effect should the nurse monitor?

3. Bradycardia

921. a client receiving tricyclic antidepressants arrives at the mental health clinic. which observation would indicate that the client is following the medication plan correctly?

3. Client arrives at the clinic neat and appropriate and appearance

737. The nurses reviewing the laboratory results for a client receiving tacrolimus. which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of this medication?

3. Fasting blood glucose of 200 mg/dL (11.1 mmol/L)

735. The nurses providing dietary instructions to a client who has been prescribed cyclosporine. Which food item should the nurse instruct the client to exclude from the diet?

3. Grapefruit juice Inhibits metabolism of drug

733. oxybutynin chloride is prescribed for a client with urge incontinence. which sign would indicate a possible toxic effect related to this medication?

4. Restlessness

909. A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication?

4. White blood cell count

738. The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse should make which appropriate response?

1. "Continue taking the medication; the brown urine occurs and is not harmful" Do not discontinue for this reason - Normal

577. The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary?

1. "I can take aspirin or my antihistamine if I need it" OTC meds should not be taken with prednisone without consulting HCP

664. The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions?

1. "I must take the medication exactly as prescribed" Clients are usually contagious for up to 2 days after the spread of influenza

651. The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines if the client needs further instruction if the client makes which statement?

1. "I will take the medication on an empty stomach" Take with food or milk

578. A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply

1. Administer methimazole with food 3. Assess client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches Common side effects include nausea, vomiting, diarrhea. Pt should consume high cal diet.. 4 may indicate agranulocytosis.

764. A client is prescribed an eye drop and an eye appointment for the right eye. how should the nurse best administer the medications?

1. Administer the eye drop first, followed by the eye ointment

662. A client has begun therapy with theophylline. The nurse should plan to teach the client to limit the intake of which items while taking this medication?

1. Coffee, cola, and chocolate Xanthine-containing foods

826. in monitoring a client's response to disease modifying antirheimatic drugs (DMARDs), which assessment findings with the nurse consider acceptable responses? select all that apply

1. Control of symptoms during periods of emotional stress 2. Normal white blood cell, platelet, and neutrophil counts 3. Radiological findings that show no progression of joint degeneration 4. An increase range of motion in the affected joints 3 months into therapy

792. Meperidine has been prescribed for a client to treat pain. Which side and adverse effect should the nurse monitor for? Select all that apply

1. Diarrhea 3. Tremors 4. Hypotension

576. The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply

1. Diarrhea may occur secondary to the metformin 2. The repaglinide is not taken is a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and sed to traet mild hypoglycemia episodes

851. a client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication?

1. Gait

825. Cyclobenzaprine Is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. which disorder, if noted in the record, would indicate a need to contact the healthcare provider about the administration of this medication?

1. Glaucoma

739. A client with chronic kidney diseases receiving epoetin Alfa. which laboratory result would indicate a therapeutic effect of the medication?

1. Hematocrit of 33% (0.33)

579. The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication?

1. Insomnia 2. Weight loss 5. Mild heat intolerance

501. The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication?

1. Itching Adverse effects: Burning, itching, stinging, redness of the skin, and hypopigmentatioin

536. The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the health care provider before administering the medication if which disorder is documented in the client's history?

1. Pancreatitis Pancreatic function tests should be done before therapy begins and when 1+ week of the medication has been given

586. A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL (10.2 to 11.4 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia?

1. Prednisone May decrease the effect of oral hypoglycemics, insulin, diuretics, and potassium supplements

540. The nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects extravasation and should take which actions? Select all that apply

1. Stop the infusion 2. Notify the health care provider (HCP) 3. Prepare to apply ice or heat to the site 5. Prepare to administer a prescribed antidote to the site

794. The client arrives at the emergency department complaining of back spasms. The client states, "I have been taking 2 to 3 aspirin every 4 hours for the last week, and it hasn't helped my back." Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation?

1. Tinnitus

494. Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

1. Tinnitus S&S of system toxicity (salicylism) include: Tinnitus, dizziness, hyperpnea, and psychological disturbance

761. The nurses preparing to administer eye drops. Which intervention should the nurse take to administer the eye drops? select all that apply

1. Wash hand 2. Put gloves on 3. Place the drop in the conjunctival sac 4. Pull the lower lid down against the cheekbone

570. The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?

1. Withdraws the NPH insulin first When preparing a mixture of short-acting insulin, such as regular insulin, which another insulin preparation, the short acting insulin is drawn up first. This sequence will avoid contaminating the vial of short-acting insulin.

762. The nurse prepares a client for ear irrigation as prescribed by the healthcare provider. which action should the nurse take when performing the procedure?

1. warm the irrigation solution to 98.6°F (37.0° C)

797. The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions?

2. "Good oral hygiene is needed, including brushing and flossing"

908. A client's medication sheet contains a prescription for sertraline. to ensure safe administration of the medication, how should the nurse administer the dose?

2. At the same time each evening

823. The nurse is preparing discharge instructions for a client receiving baclofen. which instruction should be included in the teaching plan?

2. Avoid the use of alcohol

338. Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment?

2. Blood pressure Causes continuous uterine contraction - may raise bp

613. A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?

2. Checking the frequency and consistency of bowel movements Principal manifestations of Chron's are diarrhea and abd pain

695. A client with a clot in the right atrium is receiving a Heparin sodium infusion at 1,000 units/hour and warfarin sodium 7.5 mg at 5:00 p.m. daily. The morning laboratory results are as follows: activated partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. The nurse should take which action based on the client's laboratory results?

2. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed INR of 2-3 is therapeutic

920. A client gives the home health nurse a bottle of clomipramide. The nurse notes that the medication has not been taken by the client in two months. which behavior observed by the client would validate non-compliance with this medication?

2. Complaints of hunger and fatigue Antidepressant

699. The nurse is monitoring a client who is taking digoxin for adverse effects. which findings are characteristic of digoxin toxicity? select all that apply

2. Diarrhea 4. Blurred vision 5. Nausea and vomiting

916. The nurses performing a follow-up teaching session with a client discharged one month ago. The client is taking fluoxetine. which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of the medication?

2. Gastrointestinal dysfunctions

913. The nurse is teaching a client who is being started imipramineabout the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication?

2. In 2 to 3 weeks

911. The nurse is describing the medication side and adverse effects to a client who is taking oxazepam. Which information should the nurse incorporate in the discussion?

2. Increase fluids and bulk in the diet

821. Colchicine Is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder?

2. Kidney disease

844. The nurse caring for a client who is taking Aminoglycoside should monitor the client for which adverse effects of the medication? select all that apply

2. Ototoxicity 3. Renal toxicity 4. Dysrhythmias

917. A client who has been taking buspirone for one month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred?

2. Rapid heartbeat or anxiety

619. A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?

2. Relief of epigastric pain Misoprostol is a gastric protectant

915. The nurse notes that a client was schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client's experiencing which medication complication?

2. Tardive dyskinesia

819. A client has been on treatment for rheumatoid arthritis for 3 weeks. during the administration of etanercept, which is most important for the nurse to assess?

2. The white blood cell counts and platelet counts

731. Bethanechol chloride is prescribed for a client with urinary retention. which disorder would be a contraindication to the administration of this medication?

2. Urinary strictures

730. phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates the medication is effective based on which observation?

2. Urination is not painful

766. a meiotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. which response should the nurse provide to the client?

3. "The medication causes the people to constrict and will lower the pressure in the eye"

621. A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromyacin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

3. "The medications will kill the bacteria and stop the acid production" Treatment for H. pylori is usually 2 antibacterial medications and a proton pump inhibitor

767. A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse identifyas the cause of the client's complaint?

3. Acetylsalicylic acid

614. A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

3. An episode of diarrhea Loperamide is an antidiarrheal

848. The nurse is caring for a post-renal transplantation client taking cyclosporine. The nurse notes and increase in one of the client's vital signs and the client is complaining of a headache. what vital sign is most likely increased?

3. Blood pressure

704. The nursery report which assessment finding to the healthcare provider (HCP) before initiating thrombolytic therapy in a client with pulmonary embolism?

3. Blood pressure of 198/110 mmHg

734. following kidney transplantation, cyclosporine is prescribed for a client. which laboratory result would indicate an adverse effect from the use of this medication?

3. Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)

732. The nurse, who is administering Bethanechol chloride, is monitoring for cologenic overdose associated with the medication. The nurse should check the client for which sign of overdose?

3. Bradycardia

657. A client has been started on long-term therapy with rifampin. the nurse should provide which information to the client about the medication?

3. Causes orange discoloration of sweat, tears, urine, and feces Will stain soft contact lenses permanently Do not double or skip doses Best to take on an empty stomach

768. In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops at 0900 for surgery that is scheduled for 0915. What initial action should the nurse take in relation to the characteristics of the medication action?

3. Consult the surgeon, as there is not sufficient time for the dilative effects to occur

914. A hospitalized client is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? select all that apply

3. Crackers 5. Tossed salad Avoid foods high in tyramine

653. Terbutaline Is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution?

3. Diabetes Mellitus Contraindicated in patients with hypersensitivity to sympathomimetics Use cation in patient with impaired cardiac function, diabetes mellitus, hypertension, hyperthyroidism, or a history of seizures

824. The nurse is analyzing the laboratory studies on a client receiving dantrolene. which laboratory test would identify an adverse effect associated with the administration of this medication?

3. Liver function tests

760. Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. which nursing action is most appropriate related to monitoring for side and adverse effects of this medication?

3. Monitoring blood pressure

846. The nurse is caring for a client who has been taking a sulfamide and should monitor for signs and symptoms of which adverse effect of the medication? select all that apply

3. Nephrotoxicity 4. Bone marrow suppression 5. Gastrointestinal (GI) effects

580. The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way?

3. On an empty stomach Dosing should be in the morning before breakfast

616. A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit is which effect is observed?

3. Reduction of steatorrhea Steatorrhea = Fatty stools

650. The nurse is preparing to administer a dose of naloxone intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside if needed?

3. Resuscitation equipment

793. A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140 mcmol/L). Which finding would be expected as a result of this laboratory value?

3. Slurred speech

703. A client receiving thrombolytic therapy with a continuous infusion of alteplase suddenly becomes extremely anxious and complains of itching. The nurse hears strider and knows generalized urticaria and hypotension. which nursing action is the priority?

3. Stop the infusion and call for the rapid response team (RRT) Anaphylactic reaction

649. A client has a prescription to take gluaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that he or she will perform which action?

3. Take the tablet with a full glass of water Decreases viscosity of secretions

790. The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan?

3. There is the potential of decreased effectiveness of birth control pills while taking phenytoin.

334. The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply

3. Uterine hyperstimulation 4. Late decelerations of the FHR

795. A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. which value indicates that the client is experiencing an adverse effect to this medication?

3. White blood cell count, 3,000 mm^3 (3.0 × 10^9/L)

849. Amikacin Is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the healthcare provider (HCP) immediately if which occurs?

3. hearing loss

847. The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immune deficiency syndrome who is receiving Didanosine. The nurse interprets that the client may have the medication discontinued by the healthcare provider if which elevated result is noted?

3. serum amylase level

705. A client is prescribed nicotinic acid or hyperlipidemia and the nurse provides instructions to the client about the medication. which statement by the client indicates an understanding of the instructions?

4. "Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing"

692. A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is complaining of anorexia. The healthcare provider prescribes a serum digoxin level to be done. The nurse checks the result and should expect to know which level that is outside of the therapeutic range?

4. 1.0 ng/mL Therapeutic Dig range is 0.5-0.8 ng/mL

798. A client with myathenia gravis has become increasingly weaker. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis?

4. A temporary worsening of the condition

791. The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed?

4. Acetylcysteine

503. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. THen nurse reminds the children that chemical sunscreens are most effective when applied at which times?

4. At least 30 minutes before exposure to the sun All sunscreens should be reapplied after swimming or sweating

765. which medication, if prescribed for the client with glaucoma, should the nurse question?

4. Atropine sulfate

910. A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety?

4. Avoid drinking alcohol while taking this medication

726. A client who has a cold is seen in the emergency department with an inability to void. because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication?

4. Decongestants

799. A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which laboratory value would indicate toxicity associated with the medication?

4. Direct billiruben level of 2 mg/dL (34 mcmol/L)

912. The nurses administering risperidone to a client who is scheduled to be discharged. before discharge, which instruction should the nurse provide to the client?

4. Get absolutely when changing positions

789. Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect?

4. Impaired voluntary movement

615. A client has an as needed prescription for ondansetron. For which condition(s) should the nurse administer this medication?

4. Nausea and vomiting Ondansetron is an antiemetic

763. The nurse is providing instructions to a client who will be self-administering eye drops. to minimize systemic absorption of the eyedrops, the nurse should instruct the client to take which action?

4. Occlude the nasal lacrimal duct with a finger after instilling the drops

850. The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet, an antiviral medication. The nurse should monitor the result of which laboratory study while the client is taking this medication?

4. Serum creatinine level

729. trimethoprim-sulfamethoxazole Is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy?

4. Sore throat early sign of blood disorder than can occur secondary to this medication

822. Alendronate Is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. which instruction should the nurse provide?

4. Take the medication with a full glass of water after rising in the morning

736. Tacrolimus Is prescribed for a client who underwent a kidney transplant. which instruction should the nurse include when teaching the client about this medication?

4. Take the oral medication every 12 hours at the same times every day

843. The client with acquired immunoficiency syndrome and pneumocystis jiroveci infection has been receiving pentamidine. the client develops a temperature of 101°F (38.3° C). The nurse continues to assess the client, knowing that this sign most likely indicates which condition?

4. The client has developed another infection caused by leukopenic effects of the medication

727. Nitrofurantoin Is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse should make which interpretation about the client's complaint?

4. The client is experiencing a pulmonary reaction requiring cessation of the medication

472. The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse selects which best site to administer the injection?

4. Vastus lateralis The only safe IM injection site for a child this young

702. Intravenous heparin therapy is prescribed for a client. Well implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

2. Protamine sulfate

340. An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accesible should respiratory depression occur

1. Naloxone

336. The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed about administration of the eye medication?

1. "I will flush the eyes after instilling the ointment"

623. The nurse determines the client needs further teaching on cimetidine if which statements were made? Select all that apply

1. "I will take the cimetidine with my meals" 2. "I'll know the medication is working if my diarrhea stops" 4. "Taking the cimetidine with an antacid will increase its effectiveness Food reduces the rate of absorption. Antacids decrease the absorption. Warfarin therapy may need to be reduced

343. The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all the apply

1. Flushing 4. Depressed respirations 5. Extreme muscle weakness Mag sulf is a CNS depressant and relaxes smooth muscle. Including the uterus.

497. A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates a systemic effect has occurred?

1. Hyperventilation Medication may cause metabolic acidosis

575. A client is taking Humulin NPH and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply

1. Hypoglycemia may be experienced before dinner time 3. The insulin should be administered at room temperature

661. Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. For which wide and adverse effects of the medication should the nurse monitor? Select all that apply

1. Signs of hepatitis 2. Flulike syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision Side and adverse effects include rash, gastrointestinal disturbances, neutropenia, red-orange colored body secretions, uveitis, myositis, arthralgia, hepatitis, chest pain with dyspnea, and flulike syndrome.

538. A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?

2. Calcium level May increase calcium, cholesterol, and triglyceride levels

583. The nurse teaches the client, who is newly diagnosed with diabetes insipidus, about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply

2. "I should decrease my oral fluids when I start this medication" 5. "I should report headache and drowsiness to my health care provider since these symptoms could be related to my desmopressin" Medication increases ADH

498. Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

2. Triglyceride level Measure before and periodically after treatment

532. A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication?

2. Uric acid level Can cause uric acid nephropathy, renal stones, and acute kidney injury

701. A client being treated for heart failure is administered intravenous bumetanide. Which outcome indicates the medication has achieved the expected effect?

2. Urine output increases from 10 ml/hour to greater than 50 ml hourly Diuretic

495. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply

2. Use sunscreen when participating in outdoor activities 3. Wear a hat, opaque clothing, and sunglasses when in the sun 5. Examine your body monthly for any lesions that may be suspicious Avoid sun exposure between 10-16:00 (brightest) Sunscreen should be reapplied every 2-3 hours

467. The nurse id providing medication instructions to a parent. Which statement by the parent indicates a need for further teaching?

3. "I should mix the medication in the baby food and give it when I feed my child"

585. The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all the apply

3. "I should sit up for at least 30 minutes after taking this medication" 4. "I should take this medication first thing in the morning on an empty stomach"

502. Silver sulfadiazine is prescribed for a client with a partial-thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?

3. "The medication is likely to cause stinging every time it is applied" It is applied directly to the wound and should not sting

469. A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day,, and the client's weight is 7.2 kg. The health care provider (HCP) prescribes the digoxin to given twice daily. The nurse prepares how many mg of digoxin to administer to the client at each dose?

3. 28.8mcg

544. The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication bu the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted?

3. A platelet count of 50,000 mm^3 (50 x 10^9 /L) Normal PLT is 150,000-450,000 mm^3 Initiate bleeding precautions

697. The nurse is planning to administer hydrochlorothiazide to a client. The nurse should monitor for which adverse effects related to the administration of this medication?

3. Hypokalemia, hypercalcemia, sulfa allergy

541. The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive sell destruction that occurred from the chemotherapy?

3. Increased uric acid level

659. A client with tuberculosis is being started on antituberculosis therapy with isoniazid. before giving the client the first dose, the nurse should ensure that which baseline study has been completed?

3. Liver enzyme levels Monitor for the first 3 months of therapy (maybe longer if they're over 50)

654. Zafirlukast Is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect should be prescribed before the administration of this medication?

3. Liver function tests Use with caution in patients with impaired liver function

499. A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is also taking which medication?

3. Vitamin A Vitamin A + Isotretinoin = toxicity

691. The nurse provides discharge instructions to a client who is taking warfarin sodium. which statement, by the client, reflects the need for further teaching?

4. "I will take coded aspirin for my headaches because it will coat my stomach" Avoid Aspirin and Aspirin containing products while taking Warfarin

698. The home health Care nurse is visiting a client with elevated triglyceride levels and serum cholesterol level of 398 mg/dL (10 mmol/L). The client is taking cholestyramine and the nurse teaches the client about the medication. which statement, by the client, indicates the need for further teaching?

4. "I'll continue my nicotinic acid from the health food store" May lead to liver abnormalities

693. A client is being treated with procandamide for a cardiac dysrhythmia. following intravenous administration of the medication the client complains of dizziness. what intervention should the nurse take first?

4. Auscultate the clients apical pulse and obtain a blood pressure Sign of toxicity

341. Rho(D) immune globulin is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her baby from which condition?

4. Being affected by Rh incompatibility

618. A client with a gastric ulcer has a prescription for sucrafate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times?

4. One hour before meals and at bedtime Forms a protective coating over the ulcer

533. A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication?

4. Orthostatic hypotension Pt's BP should be monitored while drug is infused over 30-60 minutes. Hair loss occurs with nearly all antineoplastic medications

535. A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication?

4. Peripheral neuropathy Occurs in almost every client. First sign of with is depression of the Achilles tendon reflex.

700. Prior to administering a client's daily dose of digoxin, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.5 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). which result should alert the nurse that the client is at risk for digoxin toxicity?

4. Serum magnesium level Increased risk of toxicity exists in clients with hypercalcemia, hypokalemia, hypomagnesemia, hypothyroidism, and impaired renal function

534. A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client?

3. "You need to consult with the health care provider (HCP) before receiving immunizations" Lowers the resistance of the body

660. The nurse has a prescription to give the client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure?

2. Salmeterol first and then the beclomethasone Bronchodilators before Glucocorticoids

694. The nurse monitoring a client who is taking propranolol. which assessment finding indicates a potential adverse complication associated with this medication?

2. The development of audible expiratory wheezes May indicate a serious adverse reaction (bronchospasm)

624. The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?

3. "This medication should only be taken with water" Compliance for this medication is a problem because of its taste and palatability. Take with juice

573. The nurse is providing discharge for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?

2. "I need to constantly watch for signs of low blood sugar" Metformin is classified as a biguanide and is the most commonly used medication for type 2 diabetes mellitus initially. It is also often used as a preventive medication for those at high risk for developing diabetes mellitus...

337. A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?

2. Betamethasone Increases production of surfactant

620. A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

2. Heartburn Omeprazole = antiulcer agent

542. The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action?

2. Increase fluid intake to 2000 to 3000 mL daily To prevent hemorrhagic cystitis

339. The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route?

2. Intratracheal

655.A client has been taking isoniazid for two months. The client complains to the nurse about numbness, paresthesia, and tingling of the extremities. The nurse interprets that the client is experiencing which problem?

2. Peripheral neuritis Can be minimized with vitamin B6

572. Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply

2. Red Meats 3. Whole-grain cereals 5. Carbonated beverages When alcohol is combined with glimepiride, a disulfiram-like reaction may occur. This syndrome includes flushing, palpitations, and nausea. Alcohol can also potentiate the hypoglycemic effects of the medication. Low-calorie desserts should also be avoided. Even though the calorie content may be low, carbohydrate content is most likely high and can affect the blood glucose.

537. Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with the bladder cancer can also take this medication. The nurse most appropriately responds by making which statement?

3. "This medication can be taken to prevent and treat clients with breast cancer"

470. Sulfisoxazole, 1 g orally twice daily, is prescribed for an adolescent with a urinary tract infection. the medication label reads "500-mg tablets." The nurse has determined that the dosage prescribed is safe. The nurse administers how many tablets per dose to the adolescent?

3. 2 tablets

617. An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication?

3. Confusion Most common CNS side effect = Confusion. Others include HA, dizziness, drowsiness, and hallucinations

584. A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take the medication?

3. Early morning Before 9am

663. The nurse has just administered the first dose of omalizumab to a client. Which statement statement by the client would alert the nurse that the client may be experiencing a life-threatening effect?

4. "My lips and tongue are swollen" Analphylactic reaction

531. A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

4. Pulmonary function studies Can cause interstitial pneumonitis

539. Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the health care provider if which diagnosis is documented in the client's history?

4. Venous Thromboembolism Suppresses release of luteinizing hormone from anterior pituitary