Patho/Pharm final exam
A nurse is providing teaching to a client who is to start treatment for asthma with baclomethasone and albuterol inhalers. Which of the following instructions should th enurse include in teaching? - take beclothematosne to avoid acute attack - use beclomethasone 5 minutes before using albuterol - Limit you calcium and vitamin D intake when taking betamethasone - Rinse your mouth after inhaling the beclomethasone
Rinse your mouth after inhaling the beclomethasone
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? - "I will drink a glass of milk when I take the medication" - I will take the medication 15 minutes after my evening meal" - I should take an antacid with the medication to avoid nausea " - I should set up for 30 minutes after taking the medication"
" I should set up for 30 minutes after taking the medication"
A nurse is planning discarge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? - "this medication increases your risk for hypertension " - "Avoid potassium rich foods in your diet " - "take each dose of the medication the evening before bed " - "Drink a glass of milk with each dose of medication"
"Drink a glass of milk with each dose of medication"
A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this mediation? - "I have tendonitis, So I haven't been able to exercise" - "I take a stool softener for chronic constipation" - "I take medicine for my thyroid" - "I am allergic to sulfa"
"I have tendonitis, So I haven't been able to exercise"
A nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? " I will stop taking famotidine when the stomach pain is gone" "I know smoking males famotidine less effective" "I will take famotidine anytime my stomach hurts" I know that famotidine will tiurn my stools black.
"I know smoking males famotidine less effective"
A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? - " I should start to feel better within 24 hours of starting this medication" - "I will be sure to follow a strict diet to avoid foods with tyramine" - "I will continue to take st. johns wort to increase the effects of the medication" - "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication"
"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication"
A nurse is teaching about self-administration of transdermal medication with a male client who has a prescription for nitroglycerin. The nurse should identify which of the following statements by the client indicates understanding of the teaching? - "I can apply patch to chest area that has hair" - " I can take this medication while using an erectile dysfunction product" - "I will remove the patch after 14 hours"
"I will remove the patch after 14 hours"
A nurse is teaching about a new prescription for ciprofloxacin to a client who has a urinary tract infection. The nurse should identify which of the following statements? - "I will take this medication with antacid to prevent gastrointestinal upset" - "I will stop taking this medication when I no longer have pain upon urination" - "I will report any signs of tendon pain or swelling" - "I will take this medication with milk"
"I will report any signs of tendon pain or swelling"
A nurse is providing discarge instructions to a client who is to self-administer insulin at home. Which of the following client statements should indicate the nurse's teaching is effective? "I should avoid getting rid of the air bubbles in the syringe" " I should inject the insulin into my thigh for the fastest absorption" "I will store my unopened bottles of insulin in the refrigerator" "I need to shake the insulin before using it to make sure it is mixed"
"I will store my unopened bottles of insulin in the refrigerator"
A nurse is teaching about zolpidem to a client who has insomnia. the nurse identify that which of the following client statements indicate an understanding of the teaching? - "I will need to fo get lab testing prior to refill of this medication" - "I will use this medication for a short period of time" - " I will need to take this medication for 1 week before results are seen" - "I will need to change the medications to prevent building up a tolerance"
"I will use this medication for a short period of time"
A nurse is caring for a client who has a radial fracture and a new prescription for butorphanol. The nurse should identify that which of the following statements by the client indicates a contraindication for the administration of butorphanol? - "Ive been taking methadone to treat a heroin use disorder" - " my pain rating is a 7 on a 0-10 scale - "My fingers are numb - "I am allergic to peanuts"
"Ive been taking methadone to treat a heroin use disorder"
A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in the instructions? -"take one tablet three times per day before meals" - "Take one tablet at onset of migraine" - "Take up to eight tablets as needed within a 24 hour period " - "Take one tablet every 15 minutes until migraine subsides"
"Take one tablet at onset of migraine"
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? - "It is safe to take enteric-coated aspirin" - "aspirin will increase the risk of bleeding" - "Acetaminophen may be substituted for aspirin" - "The INR lab work must be monitored more frequently if aspirin is taken"
"aspirin will increase the risk of bleeding"
A nurse is caring for a client refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make? - "by not taking your furosemide, you might retain fluid and develop swelling' - " you can double your dose pf furosemide this eventing if that would be better for you" - If you do not take your furosemide, we might get in trouble" - "ill go ahead and mix the furosemide into your breakfast cereal"
"by not taking your furosemide, you might retain fluid and develop swelling'
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? - "I should apply a patch every 5 minutes if I develop chest pain" - "I will. take the patch off right after my evening meal" - "I will leave the patch off at least 1 day each week" - "I should discard the used patch by flushing it down the toilet"
- "I will. take the patch off right after my evening meal"
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include? (select all that apply) - Blood glucose levels will be monitored during therapy - avoid contact with persons who have known infections - take medication 1 hour before a meal - decrease intake of foods containing potassium - grapefruit juice can increase the blood levels of the medication
- Blood glucose levels will be monitored during therapy - avoid contact with persons who have known infections - grapefruit juice can increase the blood levels of the medication
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? - hemoglobin 7.0g/dl - creatinine 1mg/dl - RBC 4.7 million/mm - platelets 75,000 - potassium 5.2
-hemoglobin 7.0g/dl - platelets 75,000 - potassium 5.2
A nurse is caring for a client who received 0.9% sodium chloride 1 liter over 4 hours insteard of over 8 hours as prescribed. Which of the following information should the nurse enter as complete documentation of the incident? - IV fluid infused over 4 hours instead of the prescribed 8 hour. Client tolerated fluids well, provider notified. - 0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable, provider notified - 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath - IV fluids initiated at 0500. Lungs clear to auscultation.
0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable, provider notified
A nurse is preparing to administer 0.0% dosim chloride 1,500 mL to infuse over 8 hours to a client who is postoperative. The nurse should set the IV pump to deliver how many mL /HR? (round to the nearest whole number. Use leading zero. do not use trailing zero.)
188mL/hr
A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus and pertussis vaccine DTaP. The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages ? - at birth - 2 months - 6 months - 15 months
2 months
A nurse is preparing to administer heparin subcutaneously to client. Which of the following actions should the nurse plan to take? - Administer the medication outside the 5-cm radius of the umbilicus - aspirate for blood return before injecting - rub vigorously after the injection to promote absorption - place a pressure dressing on the injection site to prevent bleeding
Administer the medication outside the 5-cm radius of the umbilicus
A nurse is assessing a client who has received atropine eyes drops during an eye examination. Which of the following findings should the nurse expect an effect of the medication? Difficulty seeing in the dark Pinpoint pupils Blurred Vision excessive tearing
Blurred Vision
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the adverse effects should the nurse instruct the client to monitor for and report to the provider? - Chest pressure - white patches on the tongue - bruising - insomnia
Chest pressure
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client lab values should the nurse monitor? - Creatinine kinase - erythrocyte sedimentation rate - international normalized ratio - potassium
Creatinine kinase
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? - the medication should be taken 1 hour prior to eating - It takes 48 hours for the therapeutic effects to occur - Tablets should not be crushed or chewed - Decreased respiration might occur
Decreased respiration might occur
A nurse is caring for a client who developed hypomagnesemia due to a long-term therapy of lansoprazole. The nurse should monitor the client for which of the following manifestations? Bradycardia Hypotension Muscle weakness Disorientation
Disorientation
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? - tinnitus - urinary frequency - dry mouth - exopthalmus
Dry Mouth
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching? - dry mouth - tinnitus - blurred vision - bradycardia - dry eyes
Dry mouth blurred vision
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. WHich of the following findings indicates that the medication is effective? Decreased blood pressure Increased Heart rate increased cardiac output Decreased serum potassium
Increased cardiac output
A nurse in an emergency department is caring for a client who sustained multiple fractures in a motor vehicle crash. The client rates their pain as an 8 on a 0-10 scale. Which of the following pain medications should the nurse expect to administer? - ibuprofen PO - pentazocine IM - Morphine IV - fentanyl transdermal
Morphine IV
A nurse administered digoxin immune fab to a to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicate the antidote was effective? Normal Sinus rhythm Digoxin level of 2,5mg/ml Decrease in Blood pressure Potassium level of 3.2 mEq/L
Normal Sinus rhythm
A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? Vitamin E Orange Juice Milk Antacids
Orange Juice
A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? Hypoglycemia orthostatic hypertension Bradycardia conjunctivitis
Orthostatic hypertension
A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include int he plan of care? - schedule the client for the last surgery of the day - Place monitoring cords and tubes in a stockinet - Choose rubber injection ports for fluid administration - ensure phenytoin IV is readily available
Place monitoring cords and tubes in a stockinet
A nurse is caring for a client who is receiving end of life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to five to the client and family? - The provider will prescribe naloxone at home for respiratory depression - remove the patch to reverse the adverse effects immediately - expect an increase in urinary output - Take a stool softener on a daily basis
Take a stool softener on a daily basis
A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following lab tests should the nurse review before administering the medication? - Troponin - Total cholesterol - creatinine - Thyroid Stimulating hormone
Total cholesterol
A nurse is caring for a client for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late late decelerations. Which of the following actions should the nurse take first? - Turn the client to a side lying position - disconnect the client's oxytocin from the maintenance IV - apply oxygen to the client by face mask - increase the client's maintenance IV infusion rate
Turn the client to a side lying position
A nurse is reviewing the laboratory results of a client who is taking carbamazepine for seizure disorder. Which of the following findings should the nurse report to the provider? - potassium 4.1 mEq/L - 24- hour urine glucose 300mg/day - carbamazepine level 7mcg/mL - WBC 3,500/mm
WBC 3,500/mm
A nurse is teaching a group of unit nurses about medication administration. which of the following information should the nurse include in the teaching? - the clients provider is required to complete medication reconciliation - medication reconciliation at discharge is limited to the medication ordered at the time of discharge - a transition in care the nurse to conduct medication reconciliation - medical reconciliation is limited to the name of the medications that the client is currently taking.
a transition in care the nurse to conduct medication reconciliation
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? - Vitamin K - acetylcysteine - Benztropine - Physostigmine
acetylcysteine
A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the following findings as an adverse effect of the medication? - akathisia - paresthesia - excess tear production - anxiety
akathisia
A nurse is planning to apply testosterone topical solution to a client. Which of the following actions should the nurse take? - cover the site with a transparent dressing after application - rub the solution in while wearing gloves - apply the medication to the client's axilla - dry shave the client's skin prior to application
apply the medication to the client's axilla
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication for receiving propranolol? - Cholelitiasis - asthma - Angina pectoris - tachycardia
asthma
A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity? - cromolyn - beclomethasone - budesonide - tiotropium
cromolyn
A nurse in a providers office is reviewing the lab reports for a client who has been taking allopurinol. Which of the following results indicates a therapeutic response to the medication? - decreased triglyceride level - increased hematocrit level - decreased uric acid level - increased albumin level
decreased uric acid level
A nurse is administering donepezil to a client who has alziemers disease. Which of the following findings should the nurse report to the provider immediately? - dyspepsia - Diarrhea - dizziness - dyspnea
dyspnea
A nurse is assessing a client after administering a dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? - diphenhydramine - albuterol inahiler -epinephrine - prednisone
epinephrine
A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg. Heart rate 55/ min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? - diastolic BP - Systolic BP - Heart rate - Respiratory rate
heart rate
A nurse is reviewing the lab results of a client who has been receiving injections of epoetin alfa for the past 3 weeks. Which of the following lab finding should the nurse identify as indication that the treatment is effective? - increased reticulocyte count - decreased hemoglobin - increased neutrophils - decreased triglycerides
increased reticulocyte count
A nurse is administering enaproxen to a client who is at high risk for deep vein thrombosis. Which of the following actions should the nurse take? - Choose a site on the upper thigh - spread the injection site - expel the air bubble before injection the medication - inject the medication deeply into the subcutaneous tissue
inject the medication deeply into the subcutaneous tissue
A nurse is providing teaching to.a client who is taking ibuprofen as an aid to quit smoking. Which of the following should the nurse identify as an adverse effect of the medication? - Cough - joint pain - alopecia - insomnia
insomnia
A nurse is caring for a client who reports lethargy and mylagia after taking clozapine for 6 months. Which of the following should teh nurse plan tot take? - infuse 0.9% sodium chloride 1,000 mL IV bolus - schedule the client for an electroencephalogram - obtain WBC with absolute neutraphil count - place the client on a tyramine- free diet.
obtain WBC with absolute neutraphil count
A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following actions should the nurse take prior to the administering the medication? - ask the client to drink 8 oz of water - review the client's most recent HgB level - obtain the client's blood pressure - determine if the client is allergic to NSAIDs
obtain the client's blood pressure
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inahler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication? - oral candidiasis - headache - joint pain - adrenal suppression
oral candidiasis
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for famotidine. Which of the following instructions should the nurse include? - take the medication on an empty stomach for full effectiveness - you may discontinue the medication when stomach discomfort subsides - report yellowing of the skin - you will be taking this medication for 2 weeks
report yellowing of the skin
A nurse is planning care for the client who is prescribed metoclopramide following a bowel surgery. For which of the following adverse effects should the nurse monitor? - Muscle weakness - sedation - tinnitus - peripheral edema
sedation
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication ? - muscle twitching - cough - urinary retention - increased libido
urinary retention
A nurse is assessing a client who has been taking levothyroxine for 3 months to treat hypothyroidism. Which of the following findings should the nurse expect as an indication that the medication is effective? - cool skin - weight loss - thick nails - decreased heart rate
weight loss
A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? - " I will apply the patch omce a week for 2 weeks" - "I will leave the existing patch on for 4 hours after applying the new patch" -" I will fold the sticky sides of the old patch together before disposing it" - I will apply the patch within 14 days of menses"
" I will fold the sticky sides of the old patch together before disposing it"
A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? - "I should take the medication with food" - " I should take naproxen if I develop joint pain" "I should tell my provider if I develop a sore throat" " I should expect the medication to cause my urine to look orange"
"I should tell my provider if I develop a sore throat"
A nurse is teaching a client who is starting to take diltazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - "I will stop taking the medication if I get dizzy" - "I should not drink orange juice while taking this medication" - "I should expect to gain weight while taking this medication" - "I will check my heart rate before I take the medication"
"I will check my heart rate before I take the medication"
A nurse is teaching a client about how to use a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? - apply the patch to a hairless section of the skin - replace the patch twice per day - leave the patch off for 4 hours daily - apply the patch to the same area each day
apply the patch to a hairless section of the skin
A nurse is caring for a client who has a noted extravasation of an IV site following infiltration of dopamine. After stopping the dopamine infusion, which of the following actions should the nurse take next? - inject phentolamine into the affected area - apply a cold compress to the skin - aspirate dopamine from he IV cannula - photograph the site
aspirate dopamine from he IV cannula
A nurse is planning care for a client who is recieving a mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? - weight loss - increased intraocular pressure - auditory hallucinations - bibasilar crackles
bibasilar crackles
A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following should the nurse notify the provider immediately? - hyperventilation - heartburn - anorexia - swollen ankles
hyperventilation
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? paresthesia increased blood pressure fever respiratory depression
increase blood pressure
A nurse is providing teaching to a. client who has multiple sclerosis and a new prescription for methylprednisilone. Which of the following instructions should the nurse include? - blood glucose levels will be monitored during therapy - avoid contact with people who have known infections - take medication 1 hour before breakfast - decrease dietary intake of foods containing potassium -grapefruit juice can increase the effects of the medication
- blood glucose levels will be monitored during therapy - avoid contact with people who have known infections -grapefruit juice can increase the effects of the medication
A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? - take the second dose at bedtime - increase intake of potassium-rich foods - obtain your weight weekly - monitor for muscle weakness - dangle your legs from the side of the bed before standing
- increase intake of potassium-rich foods - monitor for muscle weakness - dangle your legs from the side of the bed before standing
A nurse is preparing to administer ciprofloxacin 15mg/kg PO every 12 hours to a child who weighs 44lbs. How many mg should the nurse administer per dose?
300
A nurse is preparing to insert a peripheral IV catheter to initiate IV therapy for an older adult client. Which of the following veins should the nurse choose as the insertion site? - Superficial dorsal vein - median vein forearm - cephalic vein wrist - great saphenous vein
median vein forearm
A nurse is caring for a client who is to receive treatment for opiod use disorder. Which of the following medications should the nurse expect to administer? Bupropion Disulfiram Methadone Modafnil
methadone
A nurse is caring for.a client with pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication for receiving which medication? Acetaminophen Ipratopium benzonatate Doxycycline
Doxycycline.
A nurse is teaching a client to self-administer NPH insulin and regular insulin in the same syringe. Which of the following instructions should the nurse include? - Discard any NPH insulin that is cloudy - Shake the vial and NPH insulin to mix it - Draw up the regular insulin into the syringe first - inject air into the regular insulin vial first
Draw up the regular insulin into the syringe first
A nurse is administering diazepam to a client who is having a colonoscopy. which of the following actions should the nurse take? - Ensure flumazenil is available to administer for toxicity management - Monitor the client for an increase in blood pressure - expect the client to become unconscious within 30 seconds measure the capnography level - every hour until the client is awake and oriented
Ensure flumazenil is available to administer for toxicity management
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse report to the provider? - hot flashes - gastrointestinal irritation - vaginal dryness - leg tenderness
leg tenderness
A nurse is planning to perform a dressing change on a client's peripherally inserted central catheter site. Which of the following actions should the nurse take? - apply the clean gloves when cleaning the site - document the next dressing change is due in 14 days - measure the length of the external portion of the catheter - cleanse around the site for at-least 20 seconds
measure the length of the external portion of the catheter
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse? administers isosorbide mononitrate to a client who has a BP of 82/60 mm hg administers digoxin to a client who has a heart rate of 93/min administers regular insulin to a client who has a blood glucose of 250 mg/dl administers heparin to a client who has an aPTT of 70 seconds
administers isosorbide mononitrate to a client who has a BP of 82/60 mm hg
A nurse contacts a provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? - Write the order on a prescription pad designated to the clients provider - have the provider spell out the unfamiliar medication names - read the prescription back to the provider using abbreviations - consult with the second nurse of any questions regarding change.
have the provider spell out the unfamiliar medication names
A nurse is caring for a client who is recovering from deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? - hypertension - low INR - constipation - bleeding gums
bleeding gums
A nurse is caring for a client who is receiving a heperin therapy via continuous IV infusion to treat pulmonary embolism. Which of the following findings shoudl the nurse identify as an adverse effect of th emedication and report to the provider? - vomiting - blood in urine - positive chvoteks sign - ringing in the ears
blood in urine
A nurse is assessing a client who has been taking ferrous sulfate to treat iron deficiency anemia. Which of the following findings should the nurse document as an adverse effect of supplemental iron therapy? - Dental caries - heartburn - steatorrhea - diplopia
heartburn
a nurse is caring for a client who has a magnesium level of 3.1 mEq/L. The nurse should expect to administer which of the following medications? - magnesium gluconate - cinacalet - calcium gluconate - regular insulin
calcium gluconate
A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? - carbamazepine - sumatriptan - atenolol - glipizide
carbamazepine
A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? - Take the medication on an empty stomach - avoid crowds - discontinue the medication if palpitations occur - change positions slowly
change positions slowly
A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take? - report the incident to the charge nurse - notify the provider - check the client's blood glucose - fill out an incident report
check the client's blood glucose
A nurse is caring for a client who has hypokalemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicate a therapeutic response to the medication? - positive chvosteks sign - client report of decreased paresthesia - client report of increased thirst - calcium level of 8.8mh/dl
client report of decreased paresthesia
A nurse is assessing a client who began taking verapamil 3 days ago. Which of the following findings should the nurse identify as an adverse effect of this medication? - hypertension - constipation - gingivitis - facial edema
constipation
A nurse is assessing a client who has been taking hydrocodone for 4 weeks to relieve chronic pain. The nurse should evaluate the client for which of the following findings as a common adverse effect of this medication? - mydriasis - insomnia - constipation - urinary frequency
constipation
A nurse is caring for a client who has cancer and is taking oral morphine and docusate Sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? - constipation - drowsiness - facial flushing - itching
constipation
A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazine via intermittent IV bolus. Which of the following lab findings is priority for the nurse to report to the provider before administering the medication? - total billirubin 0.4 - alanine aminotransferase 26 - platelet count 360,000 - creatinine 2.6
creatinine 2.6mg
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse indicate in the teaching? - hot flashes - urinary retention - constipation - bradycardia
hot flashes
A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? - Felopine - guaifenesin - digoxin - regular insulin
digoxin
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? - administer epinephrine 0.5mL via IV bolus - discontinue the medication IV infusion - elevate the clients legs above the level of the heart - collect a blood specimen for ABGs
discontinue the medication IV infusion
A nurse is preparing to administer medications to a client who tells the nurse "I don't want to take my fluid pill until i get home today" Which of the following actions should the nurse take? - document the refusal and inform he client's provider - file an incident report with the risk manager - contact the pharmacist to pick up the medication - give the client the medication to take at home and document that it was administered
document the refusal and inform he client's provider
A nurse is teaching a client who has a new prescription for docusate sodium about the medication mechanism of action. Which of the following information should the nurse include in the teaching? - docusate sodium reduces the surface tension of the stools to change their consistency - docusate sodium causes rectal contraction - docusate sodium acts as a fiber agent, increasing bulk in the intestines - docusate sodium stimulates the motility of the intestines.
docusate sodium reduces the surface tension of the stools to change their consistency
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information shoild the nurse include in the teaching? - plan to increase the dosage each week by 200mg increments - prolonged use of the medication can cause glaucoma - drink 2 L of water daily - a fine red rash transient and can be treated with antihistamines.
drink 2 L of water daily
a nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethazole. Which of the following should the nurse include int he teaching? - take the medication with food - expect a fine, red rash as a transient effect - drink 8-10 glasses of water daily - store the medication int he refrigerator.
drink 8-10 glasses of water daily
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following action of sucralfate should the nurse include in teaching? - Decrease stomach acid secretion - neutralizes acids in the stomach - forms a protective barrier over ulcers - treats ulcers by eradicating H.pylori
forms a protective barrier over ulcers
A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? - "I will have increased saliva production" - "I will continue taking the medication until the rash disappears" - " I will taper off the medication before discontinuing it" - "I will report any urinary incontinence"
" I will taper off the medication before discontinuing it"
A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? - Perform a capillary blood glucose test - provide the client with protien-rich snack - give the client 120 mL of orange juice - schedule an early meal tray
Perform a capillary blood glucose test
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? - obtain the client's blood pressure - contact the client's provider - inform the charge nurse - Complete an incident report
obtain the client's blood pressure
A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep- vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? - potassium 5.0 - ePTT 2 times the control - hemoglobin 15 - platelets 96,000
platelets 96,000
A nurse in a longterm care facility is preparing medications for a group of clients. Which of the following actions should the nurse take when following guidelines for safe medication administration? - return acetaminophen to the facility's stock bottle after client refuses a dose - crush the client's verapamil extended release tablet and administer in pudding - administer a client's cephalexin 30 minutes before it is scheduled - Apply an estradiol transdermal patch to a female client's waistline
administer a client's cephalexin 30 minutes before it is scheduled
A nurse is preparing to administer the hepatitis B vaccine to an adult client who has not previously received it. When receiving the client's history, the nurse should identify an anaphylactic reaction to which of the following foods as a contraindication for receiving this vaccine? - eggs - yeast - neomycin - gelatin
yeast
A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? - dry cough - pedal edema - bruising - yellow tinged vision.
yellow tinged vision.
A nurse is teaching a client who is to start taking levodopa/carbidopa orally disintegrating tablets to treat parkinson's disease. Which of the following instructions should the nurse include? - "you should notify the provider is your symptoms do not improve within 1 week" - "You should report a darkening of your urine or sweat to the provider" - "You should not take the medication with high protein meals" - "you should drink 8oz of water as the tablet is dissolving"
"You should not take the medication with high protein meals"
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? - report muscle pain to the provider - avoid taking the medication with grapefruit juice - take the medication in the early morning - expect a flushing of the skin as a reaction to the medication - expect therapy with the medication to be lifelong
- report muscle pain to the provider - avoid taking the medication with grapefruit juice - expect therapy with the medication to be lifelong
A nurse is preparing to administer a scheduled antibiotic 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify the administration of the medication can occur at which of the following periods without requiring an incident report? - 1000 - 0900 - 0830 - 1200
0830
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which fo the following outcomes should the nurse administer chlordiazepoxide? - minimize diaphoresis - maintain abstinence - lessen craving - prevent delirium tremens
prevent delirium tremens
A nurse is administering baclofen for a client who has a spinal cord injury. Which of the followung findings should the nurse document as a therapeutic outcome? - increase in seizure threshold - decrease in flexor and extensor spasticity - increase in cognitive function - decrease in paralysis of the extremities
decrease in flexor and extensor spasticity
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include int he plan of care? - weight the client weekly - determine apical pulse prior to administering - administer the medication 30 minutes prior to breakfast
determine apical pulse prior to administering
A nurse has just administered 2mg of hydromorphine from 4 mg vial to treat a clients postoperative pain. Which of the following actions should the nurse take? - secure the remainder of the medication in the syringe in a locked drawer for future use - discard the vial with the remaining medication in a wastebasket - dispose of the syringe with the remaining medication in a secure sharps container - have a second nurse witness the disposal of the medication
have a second nurse witness the disposal of the medication
A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? - bradycardia - hyperkalemia - loss of smell - hypoglycemia
hyperkalemia
A nurse is assessing a client who is taking propylithiouracil for the treatment of graves disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? - decrease in WBC count - decrease in amount of time sleeping - increase in appetite - increase in ability to focus
increase in ability to focus
A nurse is assessing a client who has myasthenia gravis and taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? - tachycardia - oliguria - xerostomia - miosis
miosis
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take? - hold the client other oral medications for 8 hours post administering - inform the client that this medication can turn stool a light tan color - Keep the client solution in the refrigerator for up to 72 hours - monitor the client for constipation
monitor the client for constipation
A nurse revieves a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for sever pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? - MSO4 5mg subcut every 4 hr PRN sever pain - morphine 5mg subcut every 4 hr PRN -MSO4 5mg SQ every 4 hr PRN severe pain - Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain
morphine 5mg subcut every 4 hr PRN
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? - methadone - naloxone - diazepam - bupropion
naloxone
A nurse is reviewing the lab results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider? - calcium level 9.2mg/dL - magnesium level 1.6 - digoxin level 1.1 - potassium level 2.8
potassium level 2.8
A nurse is caring for a 20 year old female who has a prescription for isotretinoin for severe acne vulgaris. Beofore the client can obtain a refill, the nurse should advise the client that which the of the following tests is required? - serum calcium - pregnancy test - 24 hour urine collection for protein - aspirate aminotransferase level
pregnancy test
A nurse is is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? - Tall, tented T waves - presence of U-waves - Widened QRS complex - ST elevation
presence of U-waves
A nurse is preparing to mix and administer dantolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take? - administer the reconstituted medication over 5 minutes - store the recommended medication in the refrigerator - use the reconstituted medication with 12 hours - reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
A nurse is assessing a client who has been taking cyclosporine to treat rheumatoid arthritis. The client tells the nurse that they are also taking naproxen to relieve joint pain. The nurse should monitor the client for which of the following complications due to the interaction between these two medications? - hypotension - thrombophlebitis - renal impairment - coronary artery vasospasm
renal impairment
A nurse at a clinic is providing follow up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? - Tingling toes - sexual dysfunction - absence of dreams - pica
sexual dysfunction
A nurse is providing discharge teaching about handling medications to a client who sis to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in teaching? - chew the medication stick to release the medication - leave the medication stick in one side of the mouth until melted - allow the medication 1 hour for analgesia effects to begin - store unused medications ticks in storage container
store unused medications ticks in storage container
A nurse is assessing a client who has a schizophrenia and is taking haloperidol. The urse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? - temperature of 39.7 (103.5 degrees) degrees - urinary retention - heart rate of 56/min muscle flaccidity
temperature of 39.7 (103.5 degrees) degrees
A nurse is assessing a client 1 hour after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective? - the clients vital signs are in normal limits - The client has not requested additional pain medication" - the client is resting comfortably with eyes closed - the client rates pain 3 on a pain scale 1-10
the client rates pain 3 on a pain scale 1-10
A nurse administers ceftazadime to a client who has severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report? - the client reports shortness of breath - the client is also taking lisinopril - the client pulse rate is 60 /min - the client WBC count is 14,000/mm
the client reports shortness of breath
A nurse is reviewing the medical record of a client who recently had a myocardial infarction and has a new prescription for clopidogrel. Which of the following information should the nurse report to the provider? - the client is a greek descent - the client has a history of anxiety - the client has a prescription for ezetimibe - the client takes a garlic supplement
the client takes a garlic supplement
The nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? - the clients canography has returned to baseline - the client can respond to their name when called - the client is passing flatus the client is requesting oral intake
the clients canography has returned to baseline
A nurse is caring for a client who is taking azetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? - Tingling of the fingers - constipation - Weight gain - Oliguria
tingling of the fingers
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the beginning to exhibit salicylism? - gastric distress - oliguria - excessive bruising - tinnitus
tinnitus
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? - constipation - tinnitus - hypoglycemia - joint pain
tinnitus
A nurse is teaching a client who is to start taking gemfibrozil to lower their triglyceride levels. The nurse should instruct the client to report which of the following adverse effects to the provider immediately? - upper abdominal discomfort - blurred vision - headache - dizziness
upper abdominal discomfort
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic. The client tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse use first? - update the client's medical record - notify the provider - withhold the medication - inform the pharmacist of the client's allergy to penicillin
withhold the medication
