Learning System PN 3.0 - Pharmacology

A nurse is reinforcing teaching with a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? "You may need to take a lower dosage when you are ill or experiencing stress" "Take this medication before going to bed because it will make you tired" "Carry a supply of pills and a single-use injectable preparation with you at all times" "You will need to stop this medication before routine procedures such as a colonoscopy"

"Carry a supply of pills and a single-use injectable preparation with you at all times"

A nurse is reinforcing teaching with a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective? "I should apply this patch behind my ear" "This patch should be replaced every 7 days" "Before putting on my patch, I should wipe the area with an alcohol swab" "I can use a second patch if a single patch is not effective"

"I should apply this patch behind my ear"

A nurse is reinforcing teaching with a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? "I will administer a spray into each nostril daily" "I should expect nasal bleeding for the first week" "I will need to depress the side arms initially to active the pump" "I should expect to take this medication for a short-term course of treatment"

"I will need to depress the side arms initially to active the pump"

A nurse is reinforcing teaching with a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching? "Take this medication with meals to decrease gastrointestinal upset" "Continue this medication if you become pregnant" "Wear protective clothing while in the sun" "Expect to have severe diarrhea while taking this medication"

"Wear protective clothing while in the sun"

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include? "You should take the medication on an empty stomach to increase absorption" "You can stop taking the medication once your back spasms disappear" "You can expect to experience urinary frequency when you first start taking this medication" "You should change positions slowly while taking this medication"

"You should change positions slowly while taking this medication"

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? Hypertension Peripheral vision loss Asthma Increase intraocular pressure

Asthma

A nurse is caring for a client who has a pseudomonas infection and a new prescription for ticarcillin-clavulanate. Which of the following should the nurse collect before administering this medication? Indications of superinfection Peak and trough medication levels Baseline BUN and creatinine History of allergy to aminoglycoside antibiotics

Baseline BUN and creatinine

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administration of this medication? Blood pressure Temperature Blood glucose levels Total protein level

Blood pressure

A nurse is reinforcing discharge teaching with a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? Take ibuprofen as needed for headaches or other minor pains Carry a medical alert ID card Report to the laboratory weekly to have blood drawn for aPTT Increase intake of dark green vegetables

Carry a medical alert ID card

A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first? Notify the provider Contact the nursing supervisor Check the client's apical pulse Complete and incident report

Check the client's apical pulse

A nurse is reinforcing teaching with an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the instructions? Bologna on wheat bread Chicken salad Cheddar cheese and crackers Pizza with pepperoni

Chicken salad

A nurse is assisting with the care of a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? Amlodipine Diltiazem Nifedipine Lidocaine

Diltiazem

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? Hypotension Myalgia Diarrhea Ototoxicity

Hypotension

A nurse is reinforcing teaching about immunosuppressive medications with a client who had kidney transplant surgery. Which of the following adverse effects of these medications should the nurse include in the teaching? Increased urinary output Increased susceptibility to infection Increase hair loss Increased risk for autoimmune disorders

Increased susceptibility to infection

A nurse is planning care for a client who took an overdose of acetaminophen. Which of the following laboratory values should the nurse plan to monitor for adverse effects of the overdose? Hematocrit High-density lipoproteins (HDL) Pancreatic enzymes Liver enzymes

Liver enzymes

A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse that the client is experiencing a deficiency of estrogen in the OC? Mid-cycle breakthrough bleeding or spotting Breast tenderness Migraine headaches Nausea

Mid-cycle breakthrough bleeding or spotting

A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide the parent? Inhaled glucocorticoids are less likely to cause thrush Oral glucocorticoids are hazardous during times of stress Oral glucocorticoids are more likely to slow linear growth in children Inhaled glucocorticoids are more effective for acute bronchospasm

Oral glucocorticoids are more likely to slow linear growth in children

A nurse is collecting data from a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? Bradycardia Cold intolerance Tremor Hypothermia

Tremor