Exam II Pharm

A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take?

Offer the client backrub, remind the client to use incisional splinting, identify the clients pain, and change the clients position

A nurse is monitoring a client who is postoperative and unable to respond to questions? Which of the following nonverbal behaviors should the nurse identify as indication that the client is in pain

Restlessness grimacing clenching

A nurse is caring for a client who has a tracheostomy. Which of the following intervention should the nurse implement when performing tracheostomy care?

Secure new tracheostomy ties before removing old ones

A nurse is caring for a client who has expressive aphasia following cerebrovascular accident. Which of the following parameters should be used by the nursed first in order to assess client pain level?

Self reported pain scale

A nurse is administering cold therapy to a client. Which of the following manifestation should the nurse identify as an indication for discontinuing the application due to a systemic response?

Shivering or Hypertension

Administering a rectal suppository on a client they should be positioned in what way?

Sims (left lying)

principal stimulus for insulin release is a rise in ____? (2 words)

blood glucose

If histamine is administered to an individual with asthma this will occur

bronchoconstriction

blockade of beta 2 receptors in the lungs can cause this

bronchoconstriction

diabetes is primarily a disorder of what? (2 words)

carbohydrate metabolism

The prototype drug for the histamine 2 receptor antagonists

cimetidine

characteristic symptoms of this condition include cold intolerance, dry skin, brittle hair, low heart rate, low temperature, and fatigue

hypothyroidism

this is a first line drug for hyperthyroidism

methimazole

This drug suppresses the effects of leukotrienes thereby decreasing bronchoconstriction and inflammatory responses, such as edema and mucus secretion

monteleukast

A small machine used to convert a drug solution into a mist

nebulizer

this can occur to tissues if an IV line extravasates when administering an alpha 1 agonist.

necrosis

this drug is used to prevent tissue necrosis following extravasation of drugs that produce alpha 1 mediated vasoconstriction

phentolamine

this type of insulin is short duration, and is also an unmodified human insulin. This insulin can also be given intravenously.

regular

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority.

respiratory rate

insulin is usually given via this route of administration

subcutaneous

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

At the clients bedside

These drugs should be given to all patients with gastric or duodenal ulcers and confirmed infection with H. pylori

antibiotics

The abbreviated name of this drug is taken PRN to abort an ongoing attack or in patients with EIB, they are taken before exercise to prevent an attack from occurring

saba

This drug produces CNS excitation and bronchodilation by relaxing smooth muscle of the bronchi and is in the same class as caffeine

theophylline

A nurse is caring for a client who requires call application with ice bags to reduce swelling at the site of sn ankle injury. Which of the following actions should the nurse take?

Apply the bag for 30 minutes at a time

Difficulty speaking and hoarseness that results from local deposition of inhaled glucocorticoids

tysphonia

A nurse is preparing to administer heparin subcutaneously to a client with a deep vein thrombosis. Which of the following techniques should the nurse use?

Clean skin with alcohol, insert needle, inject heparin, and observe her bleeding. do not aspirate and do not massage

A nurse is caring for a client who is postoperative. The nurse should be as her pain management interventions primarily based on which of the following?

Client self reported pain

A patient taking theophylline who has nausea, vomiting, diarrhea, insomnia, restlessness and severe dysrhythmias is possibly experiencing this adverse effect

toxicity

Another name for an H1 antagonist or H1 blocker

antihistamine

This is a airway condition characterized by inflammation and constriction

asthma

beta 2 drugs, because of their location in the lungs, can be used to treat this condition

asthma

alpha 1 agonist cause reflex slowing of the heart, also known as

baroreceptors

A nurse is preparing to administer medication to a client who states that a pill looks different from the one they usually take. Which of the following responses should the nurse make?

"Describe what the pill looks like"

A nurse is caring for four clients. After ministering morning medication, she realizes that the nifedipine prescribed for one of the clients was administered to a different client. What action should the nurse take next?

Check the clients vital signs

A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse plan to include to prevent pulmonary complications?

Encourage the use of a incentive spirometer

A nurse is preparing to administer ophthalmic solution to a client. Which action should the nurse take?

Hold the medication 2 cm above the lower conjunctival sac

A nurse is caring for a client one day postoperatively who has developed atelectasis. Which of the following manifestations is a finding of this condition?

Hypoxemia

A nurse is teaching a client who has a total knee arthroplasty about self administering morphine via PCA infusion device. Which of the following client statements indicates an understanding of the teaching?

I should tell the nurse if I cannot control my pain with this device You cannot overdose since it has limits set

A nurse is providing information about pain control for a client who has acute pain following a sub total gastric resection. Which of the following client statements indicates understanding of pain control?

I will call for medication before the previous those wears off

A client is concerned and states that the pill they always take is green and never takes an orange pill even though you have an orange pill. Which of the following responsive to the nurse make?

I will check your medication order again

Which phrase about transdermal patches indicates a client is understanding of how it works?

I will clean and dry the area before I apply the patch

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Increased heart rate

The nurse is assessing a client who has developed atelectasis postoperatively. Which findings should the nurse expect?

Increasing dyspnea

The nurse is injecting into the deltoid. What method does the nurse take?

Inject the medication at 90 degrees

insulin is synthesized here by beta cells within the islets of Langerhans

Pancreas

Describe the Z track method

Pull the skin 2.5cm to the side administer injection

Expectorants to treat a cough have which of the following actions?

Stimulates secretions

The nurse is caring for a client who is receiving heat application through a pad. Which of the following actions should the nurse take when applying the pad?

Stop treatment if client skin becomes red and irritated

The client has hypoxia. Which of the following findings should the nurse expect?

Tachycardia

Which of the following indicates understanding of teaching of how to use an albuterol inhaler?

The client holds breath for 10 seconds after inhaling the medication

A nurse is preparing to measure client levels of oxygen saturation and observes edema in both hands and thickened toenails. Where should the nurse apply the pulse ox?

The earlobe

A nurse and a medical surgical unit is reconciling a newly admitted clients medication. The nurse is reviewing the process of medication reconciliation with the newly licensed nurse and should include which of the following?

The purpose of medication reconciliation is to prevent adverse medication reactions

this is one of the most common sites of subcutaneous injection for insulin

abdomen

this is the drug of choice to treat anaphylaxis

epinephrine

this disease is treated using alpha adrenergic antagonists (2 words)

essential hypertension

this electrolyte replacement may be administered to a patient with DKA

potassium

The nurse is caring for a client who receives 2 L per minute via nasal cannula. The nurse recognizes the client is receiving which of the following inspired oxygen concentrations?

28%

the principle indication for insulin is what? (2 words)

diabetes mellitus

this drug is the standard replacement regimen for hypothyroidism

levothyroxine

this serum level is used for screening and diagnosis of hypothyroidism and is used for monitoring replacement therapy in hypothyroid patients

TSH

Antihistamines can reduce sneezing, rhinorrhea, and itching of the eyes, nose, and throat (although they can't reduce nasal congestion)of this condition (2 words)

allergic rhinitis

during or related to the time period after a meal

postprandial

A nurse is providing care to a client with an open angle glaucoma and his needing eyedrops. Which of the following instructions to the nurse provide?

Administer the medication five minutes apart

A nurse is preparing to administer oral medication to a client. Which of the following is an acceptable identifier?

Clients full name and faculty assigned identification number

A nurse is assessing a client whose chronic respiratory insufficient. Which of the following findings with the nurse expect with a patient who has long-term in adequate oxygen?

Clubbing of fingers

A nurse is having a difficulty reading a providers written transcript for a prescription. Which of the following actions should the nurse take?

Contact the provider to clarify prescription

When reviewing the admitting prescriptions for a client, the nurse notes that the dosage of one medication is three times the usual dose of this medication. which of the following actions should the nurse take?

Contact the provider to question the dose

A charge nurse is observing a newly licensed nurse administering medication to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

Documents medication administration prior to administering it

A nurse is providing discharge to a client who has multiple medication prescriptions and must take medication as a specific time intervals went home. Which of the following should the nurse include in her teachings?

Let's work together to devise a time schedule that is convenient for you on a daily basis

A nurse is preparing medication for a client when another client has an emergency. Which of the following actions should the nurse take?

Lock the medication in a room and finish preparing it after returning from the emergency.

A nurse is preparing to administer morphine IV to a client. Which of the following medication should the nurse plan to have available?

Naloxone

A nurse is teaching a class about medication reconciliation. Which of the following should the nurse include about the teaching?

Provide a list of clients current medication during admission to a healthcare facility

A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following example should the nurse include?

Metformin 500 mg, one tablet, PO, daily

A nurse is caring for a client who has an opioid toxicity and has a respiratory rate of 6/min. Which of the following medication should the nurse plan to administer?

Naloxone

Can you crush an enteric coated medication?

No it destroys it

The nurse is teaching about medication administration. Which of the following are acceptable and safe references for medication administration?

Publish journals pharmacists and physicians desk reference

A nurse is preparing to instill eardrops in a three year old which of the following techniques of the nurse use?

Pull the auricle down and back

The nurse provides back massage for palliative care measure to a client who is unconscious, grimacing, and restless. Which of the following findings should the nurse identify as indicating a therapeutic response?

Shoulders group, facial muscles relax, and pulses is within expected range

The nurse is caring for a client who requires a medication that his package in a single those glass ampule. Which of the following technique should the nurse use when opening the glass ampule?

Tap the top of the ampule, place a gauze pad around the neck and break off the top by bending it toward the body

The nurse is administering nasal decongestion drop for a client. Which action should the nurse take?

Tell the client to blow nose gently before administration

A nurse is planning care for a client postoperatively. Which of the following statements about pain management should the nurse consider as wrong pertaining to client care?

The administration of analgesics does not lead to addiction

A nurse is caring for a client who is using patient controlled analgesia pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

Your husband should make the decision one more medication as needed

adrenergic agonists produce their effects by activating which types of receptors

andrenergic

drugs that activate beta 1 receptors can precipitate this condition which is characterized by substernal pain in the region of the heart (2 words)

anginapectoris

Blockade of muscarinic cholinergic receptors by antihistamines can produce this responses

anticholinergic

All patients with asthma use this first-line drug that activates beta2-adrenergic receptors as a component of an asthma management regimen (3 words)

beta agonist

the adrenergic drugs can fall in this class. This classification means that the drug has to be administered IV because of rapid inactivation of enzymes (COMT/MAO) needed for metabolism

catecholamines

To minimize this adverse effect, patients should rinse the mouth with water and gargle after each administration of an inhaled glucocorticoid (2 words)

oropharyngeal candidiasis

a severe manifestation of insulin deficiency that manifests as hyperglycemia, dehydration, and juicy fruit breath (2 words)

diabetic ketoacidosis

a common side effect of metformin

diarrhea

the major indication of this drug is to treat shock

dopamine

These medications reduce asthma symptoms by suppressing inflammation

glucocorticoid

a device that is used to measure blood glucose levels

glucometer

insulin preparation falls into this major group when classified according to time course

short

A nurse is caring for a client who is one day postoperative following gynecologic surgery and reports incisional pain. Which of the following to the nurse take first?

Ask the client to rate pain from 0 to 10

Before administering medication to a client the nurse was identified to client. Which of the following identification message should be used?

Ask the client's full name and birthdate

A nurse is applying a cold compress for a client whose pain and minor swelling is occurring in a sutured laceration on his forearm. Which of the following assessments should the nurse use to determine whether treatment is effective?

Asking the client to rate their pain

The nurse is caring for a client who request prescription pain medication. Which of the following actions should the nurse perform first?

Determine the location of pain

A nurse is preparing clients evening dose of risperidone when a tablet falls off the countertop. Which of the following actions should the nurse take?

Discard the tablet and receive another dose

A nurse is administering medication and client states I don't want to take those drugs. Which of the following actions should the nurse take?

Document clients refusal

The nurse is teaching client how to draw up regular insulin and pH into the same syringe what should be included in the directions?

Pull up clear insulin before cloudy

The nurse is caring for a client who has returned to the unit following a surgical procedure. The clients oxygen saturation is 85%. Which action should the nurse take first?

Raise the head of the bed

This is the most common side effect of first generation antihistamines and can lead to serious consequences

sedation

The nurse is caring for a group of clients in an infectious disease unit. The nurse should wear OSHA approved N 95 respirator mask when caring for a client with which disease?

TB

a therapeutic application of alpha 1 activation which is defined by the arrest of bleeding

hemostasis

A nurse is reviewing the medication and ministration records from a previous shift. Which of the following findings should indicate a nurse needs to report an incident?

A client received crushed bupropion XL tablet mixed with applesauce

The nurse is preparing to administer penicillin I am to an adult client. Which of the following angles to the nurse inject into the ventrogluteal muscle?

90 degrees

A nurse is caring for four clients. The nurse should identify which of the following client is having a contraindication to receiving moist heat?

A client who broke his ankle two hours ago because a recent traumatic injury should not receive heat. To treat this injury you would use ice and elevation for the first 24 hours

A nurse with draws morphine 2 mg from a 4-mg/mL vial to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?

Have a second nurse witness the disposal of excess medication

A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is 10 mg/mL. Which of the following actions should the nurse take?

Have another nurse witness the disposal of extra medication

alpha blockade drugs can also cause this unwanted inhibition in males

ejaculation

because of their positive inotropic effects, beta 1 drugs can be used to treat this condition (2 words)

heart failure

This compound plays an important role in allergic reactions and regulation of gastric acid secretion

histamine

this term is used to describe modified forms of human insulin (3 words)

human insulin analog

a principle short-term complication of diabetes

hyperglycemia

an adverse effect of beta 2 drugs due to glycogenolysis

hyperglycemia

due to widespread vasoconstriction with alpha 1 activation, this adverse effect can occur

hypertension

characteristic symptoms of this condition include heat intolerance, warm/moist skin, fast heart rate, nervousness, increased appetite, and weight loss.

hyperthyroidism

a principle short term complication of diabetes

hypoglycemia

This route has the advantage of therapeutic effects being delivered directly to their site of action, systemic effects are minimized, and relief of acute attacks is rapid

inhalation

used to treat all patients with type 1 diabetes and many patients with type 2 diabetes

insulin

this insulin is supplied as a clear solution and should never be mixed with other insulins or administered IV (2 words)

insulin glargine

This anticholinergic drug improves lung function by blocking muscarinic receptors in the bronchi, reducing bronchoconstriction

ipratropium

the initial oral drug of choice for patients with type 2 diabetes

metformin

the most serious adverse response to alpha adrenergic blockade which manifests as a reduced BP, dizziness, lightheartedness, and fainting (2 words)

orthostatic hypotension

The most effective drugs we have for suppressing gastric acid secretion

proton pump inhibitor

classification of insulins that are administered in association with meals to control the postprandial rise in blood glucose (2 words)

short duration

A device that attaches directly to the Metered Dose Inhaler to increase delivery of drug to the lungs and decrease deposition of drug on the oropharyngeal mucosa

spacer

this class of oral antidiabetic drugs causes a dose-dependent reduction in blood glucose and can thereby cause hypoglycemia

sulfonylurea

A nurse is orienting a new license nurse about receiving telephone prescriptions. Which of the following statements by newly licensed nurse indicates further teaching is needed?

telephone prescriptions are transcribed into nurses notes