Pharm 4.0 Respiratory System, Pharm 4.0 Cardiovascular, musculoskeletal pharm 4.0, Pharm 4.0 Gastrointestinal

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include?

-Apply the patch to a hairless skin area and rotate sites -Apply a new patch when you start the day -Remove patches 10 to 12 hours each day

A nurse is caring for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which if the following actions should the nurse plan to take? (Select all)

1. Infuse the drug 30 min prior to chemotherapy. 2. Infuse the drug slowly over 15 min. 3. Repeat the dose 4 hf after chemotherapy.

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? Albuterol will increase the absorption of fluticasone. Albuterol will decrease inflammation. Albuterol will reduce nasal secretions. Fluticasone will reduce the adverse effects of albuterol.

Albuterol will increase the absorption of fluticasone.

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider?

Allopurinol delays the conversion of azathioprine and can lead to toxicity.

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? Start at a low dose and gradually increase it. Take the drug as needed for nasal congestion. Allow at least 2 weeks for the full therapeutic effect. Use the drug prior to exercise.

Allow at least 2 weeks for the full therapeutic effect.

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs?

Aluminum hydroxide

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other maneifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

Antigen-binding fragments

A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug?

Dizziness

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? Muscle tremors Drowsiness Excitation Insomnia

Drowsiness

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

Gout

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of the drug?

Headache

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Hypokalemia

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? Take the drug as needed for acute asthma. Follow a low-sodium diet. Use an alternate-day dosing schedule. Increase weight-bearing activity.

Increase weight-bearing activity.

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

Myopathy

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? Fever Bruising Polyuria Palpitations

Palpitations

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? Decrease viscosity of nasal secretions Block H2 receptors Prevent histamine from binding to receptors Reduce nasal congestion

Prevent histamine from binding to receptors

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

Raisins

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following information should the nurse include?

avoid being near people who are sick with a communicable illness. periodic laboratory tests are required. report bruising or petechiae avoid drinking alcohol

a nurse is teaching a client about methotrexate. the nurse should inform the client to monitor for which of the following as an adverse effect of this drug?

black, tarry stools

a nurse is planning care for a client who has a new prescription of methotrexate. the nurse should plan to monitor the client for which of the following adverse effects?

bone marrow depression

a nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. the nurse should explain to the client that alendronate increases bone mass by which of the following actions?

decreases activity of osteoclasts

a nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. which of the following statements should the nurse make?

drink 2-3 liters of water per day to promote the drug's excretion.

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching?

i will take a birth control pill everyday

a nurse is caring for a client who has a prescription for methotrexate. which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis?

ibuprofen

alendronate is contraindicated for administration to clients who have which of the following conditions?

inability to sit upright

a nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?

jaw pain blurred vision muscle pain

a nurse is preparing to administer alendronate to a client who has osteoporosis. the nurse should recognize which of the following as an adverse effect of alendronate?

joint pain

a nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. the nurse should identify that which of the following is an adverse effect of this medication?

thrombocytopenia

For which of the following reasons should a client attach a spacer to a metered dose inhaler? ​To increase the amount of drug delivered to the lungs To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation To increase the speed of drug delivery into the mouth

​To increase the amount of drug delivered to the lungs