HESI PHARM

a client recently diagnosed with multiple sclerosis, who self administers beta 1a interferon, reports feeling increasing depressed. which action should the nurse implement?

notify the HCP of the finding immediately

a client is receiving rifampin, an anti-tubercular med, which statement by this client should prompt the nurse to notify the HCP of a potential problem?

reports that the sclera are yellow

The HCP prescribes ceflazidime 1,00 mg IV every 12 hrs, The available vial is labeled " Ceflazidime 1 g" & the instructions for reconstitution state " for iv use add 10 ml sterile water for injection. concentration after reconstitution =100mg/mL" how many mL should the nurse admin?

15

herpain

34

A client with emphysema is complaining of difficulty of breathing & is exhibiting audible wheezing. The nurse administers albuterol as prescribed for 3rd time within the last 12 hrs. which assessment finding warrants immediate intervention by the nurse? A. throat irritation b. uncontrollable shaking c. increased anxiety d. irregular rapid heart beat

D

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. which instruction should the nurse provide to the client? A. wait until the last day of your next menstrual period to apply the patch b. if a pregnancy test is negative, apply the patch immediately c. wait until sunday to apply the new patch and use the same sit d. apply the new today & use a backup method for 7 days.

D

A nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth 3 times a day for post-herpetic neuralgia. which symptom should the nurse tell the client to report to the HCP a. sexual dysfunction b. gastric irrtation c. rapid weight gain d. photosensitivity

b

a client is receiving tamsulosin, an alpha adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH) which instruction is most important for the nurse to provide? A. use a twice-a-week dosing schedule b. stand & sit up slowly c. take the med early in the day d. reduce daily fluid intake

b

a client w/ chemotherapy induced nausea receives a prescription for metoclopramide. which adverse effect is most important for the nurse to report? a. nausea b. involuntary movements c. diarrhea d. unusual irritability

b

the nurse is caring for a who takes methotrexate for rheumatoid arthritis & is now prescribed adalimunab. which instruction should the nurse provide the client? a. have a chest x-ray prior to your 1st dose b. avoid crowds and people who are sick c. obtain routine vaccination as scheduled. d. undergo annual eye examinations

b

Which action should the nurse implement to assess the effectiveness of the calcium channel blocker amlodipine? a.Note the client's serum calcium levels b.Monitor the client's serum electrolvtes. c.Review the client's intake and output d. Measure the client's blood pressure

d

An adolescent with major depressive disorder has been taking duloxetine for the past 12 days. Which assessment finding requires immediate follow-up? A.Describes life as without purpose B. States is often fatigued and drowsy c. complains of nausea & loss of appetite D. exhibits an increase in sweating

A

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline: Which assessment should the nurse perform to determine the effectiveness of the med A. monitor numeric pain scale B. auscultate bowel sounds C. measure hourly urinary output D.evaluate LOC

A

a client is receiving ortistant as part of a weight management program. which ongoing assessment should be included in the plan of care to determine the effectiveness of the med? A. body mass index b. depression screening c. daily calorie count d. serum protein levels

A

a female client w/ a hx of PUD receives a prescription for misoprostol. which info provided by the client indicates to the nurse a need for further teaching? a. ensure a negative pregnancy test result 2 weeks before therapy b. begin therapy 1 week before the normal menstrual cycle c. use condoms & a backup method of BC to prevent pregnancy D. call the HCP

A

the nurse observes that a client has become lethargic 30 min after receiving an opioid injection for pain. which VS should the nurse obtain 1st? A. RR B. BP. c. PR D. temp

A

two months after taking nitrofurantoin for bacterial infection, a client reports the onset of severe, watery diarrhea to the home health nurse. how should the nurse respond A.Determine if the full course of the initial prescription of medication was taken B. advise that the infection has returned & additional med will be needed C. explain that the diarrhea may be an adverse effect that requires further evaluation D. offer instructions about the use of an OTC antidiarrheal med

A

a client with schizophrenia receives a prescription for fluphenazine. which instruction is most important for the nurse to include when teaching the client about this drug? A. Notify your HCP immediately if involuntary movement develop B. check BP daily & notify the HCP if it increase C. wear sunscreen when going outside to prevent effect of sun sensitivty D. drink water frequently throughout the day as the medication increases thrist

A.

A client is using the nasal spray hormone calcitonin (miacalan) to reduce bone loss from osteoporosis. To reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client with which instruction?

Alternate the use of each nostril when administering the nasal spray each day.

A client is taking clonazepam, benztropine, haloperidol, & divalproex. The nurse suspect that the client is experiencing akathisia bc the client is rock back & forth in the chair & having difficulty staying still. which med is most likely to be the cause of the condition? A. Benztropine B. Haloperidol C. Colonazepam D. Divalproex

B

the nurse is caring for a client with multiple comorbodites. which med should the nurse recongnize as increasing the client's risk for fractures? a. metformin b. lanzoprazole c. amlodpine d. simvastatin

B

the nurse prepares to adminster a scheduled dose of labetalol by mouth to a client with hypertension. The clients vital signs are temperature 99 F (37.2) , heart rate 48 beats /minute respirations 16 breaths/minute and blood pressure 150/90 mmHg. which action should the nurse a. administer the dose and monitor the client bp regularly b. withhold the scheduled dose and notify the HCP c. assess for orthostatic hypotension before administering the dose d. apply a telemetry monitor before administering the dose

B

A client has a prescription for clopidogrel bisulfate 75 mg by mouth daily at 0900. In which situation should the nurse hold this med? A. The client's PT level is high B. Breakfast has not been eaten C. Elective surgery is scheduled in 2 hrs D. an abdominal sonogram is scheduled

C

To evaluate the effectiveness of a client's prescription for rosuvastatin, which action should the nurse implement? a. Evaluate the client's serum cholesterol level results b.Measure skin folds for body mass index (BMI) calculations. c.Obtain the client's heart rate and blood pressure d.Review the client's daily food and weight log

C

Which assessment data indicates to the nurse that a client is having an anaphylactic reaction to a medication? A.Insomnia and irritability B.Wheezing and dyspned C.Tinnitus and Diplopia D. Urticana and prunitis

C

a client w/ muscle spasticity receives a prescription for baclofen. which information provided by the client requires additional instruction by the nurse? a. use a stool softener as needed b. take med w/ meals c. discontinue when spasms cease d. avoid the ingestion of alcohol

C

a male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred & he has an ataxic gait. Which action should the nurse implement? A. Advise the client to discontinue the med immediately B. Report these side effects to HCP C. explain the need to refrain from alcohol use while taking the drug D. document the client's continued seizure activity

C

a postoperative client has a prescription for ketorolac 30 mg IV 6 hrs. which intervention should the nurse implement to determine if the expected outcome of the med has been achieved? a. Observe wound drainage for a change in appearance b. Assess the client's calves for inflammation. c. Perform a pain assessment using a numeric scale. d Measure the client's intake and output.

C

the nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed bc of a suspected anthrax exposure. which instruction should be included in the teaching plan? A. Use NSAIDs to relieve mild joint aches & pains caused by the med B. crush & mix the tablets w/ pudding if you have trouble swallowing the tablets C. Increase fluid intake while taking med D. limit exposure to sunlight & avoid tanning beds E. report any tendon pain or swelling to the HCP immediately

C, D, E

during a home visit, the nurse assesses a client w/ Alzheimer's disease who recently started a new prescription of rivastagmine. the caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. which action should the nurse take?

C. explain to the caregiver that insomnia is a common and temporary side effect when the med is 1st started

The nurse is administering IV fluconazole (Diflucan) to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, then nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST, also called SGOT). What action should the nurse implement?

C. hold the dose & notify the HCP of the changes in lab studies

the home health nurse observes a client self administering an epinephrine injection using an auto-injection pen. which client action requires intervention by the nurse? a. administers into the fleshy outer thigh b. inserts the injection pen through clothing c. holds the pen in place after injection d. cleanse the injection pen for re-use

D

when preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client's upper back &the client denies pain. which action should the nurse take? a. Remove the patch and consult with the healthcare provider about the client pain resolution b. Place the patch on the clients shoulder and leave both patches in place for 12 hours c. Administer an oral analgesic and evaluate its effectiveness before applying a new patch d. Apply a new patch in a different location after removing the original patch

D

Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

D. begin cardioversion to stabilize the heart rhythm

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne . Which information is most important for the nurse to provide this client?

Discontinue this medication one month before attempting to conceive

Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?

Observe the client for presence of pain behaviors before the next analgesic dose is due.

an older adult is receiving vancomycin for a hospital-acquired infection. which intervention is most important for the nurse to implement?

Obtain a white blood cell count daily to determine response of infection.

a client with cystitis receives a prescription for phenazopyridine. which information should the nurse explain to the client about it's therapeutic effect?

Provides an analgesic effect for irritated bladder mucosa

A client receives a new prescription for zafirlukast. Prior to administering the medication, the nurse should review the electronic medical record for which condition?

Status Asthmaticus

before administering the initial dose of sumatripatin succinate to a client w/ a migraine headache. it is most important to determine if the client's history includes which problems?

coronary artery disease

Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? a.Determine the frequency and consistency of bowel movements b.Observe the skin integrity of the client's rectal and sacral areas. C. Assess the client's strength in moving and turning in the bed d.Evaluate the client's ability to recognize the urge to defecale

a

an older adult client with restless legs syndrome begin taking melatonin at bedtime. when evaluating the effectiveness of the herb, which client assessment should the nurse complete? a. Determine sleep patterns. b. Palpate pedal pulse volume. c. Observe for peripheral edema. d. Assess anxiety level.

a

the nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine What should the nurse include in the discharge teaching?

a. teach the client self-injection skills for daily subq administration

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for a pulmonary embolism. Which information in the client's history requires follow-up by the nurse? a. Report of client's sobriety for the last five years. b. Takes metformin hydrochloride for type 2 diabetes mellitus. c. Metal hip prothesis was placed twenty years ago. d. CT scan that was performed six months earlier. B.

b

A client who received a renal transplant three months ago is readmitted to the acute care unit w/ signs of graft rejection. while taking the client's hx, the nurse determines that the client has been self- administering st.john wort, an herbal preparation, on the advice of a friend. which information is most significant about this finding? a. The client probably used this herb to treat depression b.Wort can decrease plasma concentrations of cyclosporine. c. Adding the herbs can decrease the needs for corticosteroids. d. Ingestion of Wort can reduce the client's intake of sodium.

b

A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO Before breakfast at 0730. The client reports experiencing heartburn when the nurse brings to schedule medications. What action should the nurse take? A. Instruct the client to take the dose of sucralfate PO while eating breakfast B. Administer both of the medications before breakfast as scheduled C. Hold the dose of IV pantoprazole until the client has finished eating breakfast D. Provide a PRN dose of antacid along with the schedule medications

b

A male client reports to the nurse that he is experiencing GI distress from high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement what nursing action is most important for the nurse to take? a. Encourage the client to take medication with food to decrease GI distress b. Advice the client that the medication should be stopped gradually rather than abruptly. c. Review the clients dosing schedule to ensure he is taking the prescribed amount d. Assess the client for other indication of adverse effects of corticosteroid

b

A client receives a prescription for itraconazole Which information provided by the client requires additional instruction by the nurse? a.Monitor for changes in stool color b.Report any difficulty with breathing c. take the med w/ antacids d. avoid the consumption of grape fruit

c

a client is pilocarpine hydrochloride ophthalmic drops for glaucoma, the client calls the clinic nurse and reports difficulty seeing at night. which explanation should the nurse provide? a. the drug can cause the lens to become more opaque b. the drops increases the fluid in the eyes and cloud the visual field c. the eye drops slows pupil response to accommodate for darkness d. the med causes pupils to dilate, which reduces night vision

c

a male client has been receiving the antibiotic gentamicin sulfate, iv piggyback every 12 hrs for several days. which observation by the nurse indicated that the client may be experiencing an adverse effect of gentamicin? a. decreased BUN b. reports photophobia c. hearing has decreased d. wbc 6k

c

hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. the nurse should instruct the client to respond-to report which symptom because it indicates that the client is taking too much of the hormonal agent, levothyroxine sodium a. intolerance to cold b. constipation c. restlessness d. decreased appetite

c

the nurse is preparing a client w/ copd and a chronic productive cough for discharge home, which prescribed med should the nurse review w/ the client to manage this symptom? a. prednisone b. tiotropium c. guaifenesin d. salmeterol

c

when caring for a client w/ diabetes insipidus who is receiving an antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor? a. ca b. glucose c. osmolality d. platelets

c

a client diagnosed with chronic hepatitis c is receiving ribavirin in combination with alpha-interferon reports the onset of extreme fatique and dyspnea on exertion. i tis most important for the nurse to monitor which serum laboratory value?

glucose

When conducting drug education about an oral preparation for cyclosporine. Which juice should the nurse instruct the client?

grapefruit