Pharm A

a nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. which fo the following instructions should the nurse include in the teaching? (select all that apply) a. "you will need to have your liver enzymes monitored after 1 month" b. "you can have nosebleeds while taking this medication" c. "you should report any thoughts of harming yourself" d. "you will need to have two negative pregnancy test prior to starting the medication" e. "you will need to take vitamin A supplement twice daily"

a. "you will need to have your liver enzymes monitored after 1 month" b. "you can have nosebleeds while taking this medication" c. "you should report any thoughts of harming yourself" d. "you will need to have two negative pregnancy test prior to starting the medication"

a nurse is planning to reinforce teaching regarding newborn immunizations with a client who is 24 hr postpartum. which of the following information should the nurse plan to include? a. "your baby will receive the first hepatitis B vaccine before discharge" b. your baby will receive the rotavirus vaccine if your blood titer is low." c. "your baby will receive the first influenza virus vaccine at the 4-week check up." d. "your baby will receive the varicella if you have a history of chickenpox"

a. "your baby will receive the first hepatitis B vaccine before discharge"

a nurse is reinforcing teaching with a client who has seizures & a new prescription for valproic acid. the nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider? a. abdominal pain b. hair loss c. weight gain d. ataxia

a. abdominal pain

a nurse is collecting data from a client who is receiving digoxin for treatment of HF. then nurse should identify which of the following findings as adverse effects of this medication? (select all that apply) a. blurred vision b. nausea c. hyperactivity d. increased appetite e. dysrhythmia

a. blurred vision b. nausea e. dysrhythmia

a nurse is collecting data from a client who has Parkinson's disease & is taking levodopa/carbidopa. the nurse should identify which of the following findings as an adverse effect of this medication? a. dark urine b. hypertension c. increased salivation d. salivation

a. dark urine

a nurse is caring for a client who has multiple sclerosis & has a new prescription for baclofen. which of the following findings indicates to the nurse that the medication is having a therapeutic effect? a. decreased muscle spasticity b. increased urinary output c. increased mental alertness d. decreased heart rate

a. decreased muscle spasticity

a nurse is caring for a client who has tuberculosis & will begin taking isoniazid. which of the following actions should the nurse take? a. determine the client's daily alcohol intake b. tell the client to expect the red-orange colored urine c. reinforcing teaching on a low-calorie diet d. instruct the client to have a yearly tuberculin skin test

a. determine the client's daily alcohol intake

a nurse is reinforcing teaching with a client who has new prescription for etanercept to treat rheumatoid arthritis. which of the following instruction about self-administering this medication should the nurse include? a. discard any solutions that are cloudy b. attach a 21-gauge needle to the syringe for injection c. self-administer the medication on alternate days d. shake the reconstituted solution well before self-administration

a. discard any solutions that are cloudy

a nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. the nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? a. gelatin b. penicillin c. sulfa d. eggs

a. gelatin

a nurse is reinforcing teaching with a client about the adverse effects of simvastatin. for which of the following adverse effects should the nurse instruct the client to notify the provider? a. muscle pain b. fine hand tremors c. urinary retention d. double vision

a. muscle pain

a nurse is instilling timolol eyedrops for a client who has glaucoma. which of the following actions should the nurse take after instilling the eyedrops? a. press the nasolacrimal duct b. apply pressure to the upper eyelids c. ask the client to blink her eyes several times d. tell the client to keep eyes open for at 15 seconds

a. press the nasolacrimal duct

a nurse is caring for a client who has a new prescription for sumatriptan. the nurse notes that the client takes fluoxetine. the nurse should notify the provider that the combination of these medications will plan the client at risk for which of the following adverse effects? a. tremors b. renal calculi c. dysphagia d. hearing loss

a. tremors

a nurse is reinforcing teaching about benzodiazepine withdrawal with an older adult client who D/C taking lorazepam after taking it for 3 months. which of the following instructions should the nurse include? a. "increase your fiber tintake with each meal" b. "have someone assist you with ADLs" c. "watch for increased drowsiness" d. "limit your daily fluid intake to 1,500 mL"

b. "have someone assist you with ADLs"

a nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. the client asks why the injection must be given IM instead of through the IV line. which of the following responses should the nurse make? a. "the medication is more rapidly absorbed when given IM" b. "your medication can't be given IV because it is not water-soluble" c. "you will experience less discomfort with an IM injection" d. "an IM injection allows more precise control of the medication level in your blood"

b. "your medication can't be given IV because it is not water-soluble"

a client comes to an urgent care clinic & announces with great enthusiasm "i am an expert at all things medical as they apply to me, & i require zolpidem" the client's pupils are dilated, along with an elevated heart rate & blood pressure level. the nurse should suspect intoxication with which of the following substances? a. alcohol b. cocaine c. barbiturates d. heroin

b. cocaine

a nurse is reviewing medication prescription for a group of clients. the nurse should recognize that which of the following prescriptions can result in a medication administration error? a. penicillin g benzathine 1.2 million units IM daily b. furosemide 10.0 mg PO daily c. albuterol 2.5 mg 2 inhalations every 6 hrs prn for sob d. insulin glargine 15 units sq daily at bedtime

b. furosemide 10.0 mg PO daily

a nurse is collecting data from the parent of an 11 y.o. child who has previously received all the immunizations in accordance with the CDC recommended immunization schedule. which of the following immunizations should the nurse plan to administer to this child at this age? a. hepatitis A b. human papilloma virus c. varicella d. inactivated poliovirus

b. human papilloma virus

a nurse is caring for a client who has a history of psychosis & is taking chlorpromazine. which of the following actions should the nurse take to counteract the adverse effects of this medication? a. suggest that the client apply antiperspirant more frequently b. inform the client to apply sunblock before going outside c. give the client a list of OTC antidiarrheal medications d. recommend the the client take the medication on an empty stomach

b. inform the client to apply sunblock before going outside

a nurse is caring for a client who has a prescription for a hydromorphone 2 mg immediate release tablet by mouth. the nurse administers a 4 mg immediate release tablet by mistake. which of the following actions should the nurse take first? a. document the facts about the error in the medication administration record b. obtain the client's vital signs & level of consciousness c. prepare an incident report d. report the error to the provider & charge nurse

b. obtain the client's vital signs & level of consciousness

a nurse is collecting data from a client who is postoperative & taking morphine for pain. which of the following findings is the priority for the nurse to report the provider? a. constipation b. oxygen saturation 87% c. vomiting d. urinary output 25 mL over 1 hr

b. oxygen saturation 87%

a nurse is collecting data from a female client who has been taking Propylthiouracil (ptu) for 2 months to treat Grave's disease. which of the following findings should the nurse recognize as an indication that the medication is effective? a. weight loss b. pulse 82/min c. respiratory rate 22/min d. decreased menstrual flow

b. pulse 82/min

a nurse is reinforcing teaching with a client who has hypertension & a new prescription for spironolactone. which of the following instructions should the nurse include in the teaching? a. increase foods high in zinc b. restrict foods high in potassium c. restrict foods high in vitamin K d. increase foods high in magnesium

b. restrict foods high in potassium

a nurse is reinforcing teaching about comfort measures with the patient of a 10-y.o. child who has a viral infection. the nurse should plan to tell the parent that aspirin in contraindicated because of the risk for which of the following conditions? a. juvenile idiopathic arthritis b. reye's syndrome c. glomerulonephritis d. iron-deficiency anemia

b. reye's syndrome

a nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsule. which of the following instructions should the nurse include? a. take the medication at bedtime b. swallow the medication whole c. take the medication with food d. avoid antacids when taking this medication

b. swallow the medication whole

a nurse is reinforcing teaching with a client who has HIV & a new prescription for zidovudine. which of the following clients statements should indicate the nurse an understanding of the teaching? a. "i can have unprotected sex after 6 months of taking this medication" b. "i can expect to have constipation while taking this medication" c. "i will be sure to have my blood tested for anemia" d. "my fingers might feel numb after I start therapy"

c. "i will be sure to have my blood tested for anemia"

a nurse is reinforcing teaching with a client about eh use of sublingual nitroglycerin for chest pain. which of the following statements by the client indicates an understanding of the teaching? a. "i will store nitroglycerin tablets in my car glove box when traveling" b. "i will take a nitroglycerin tablet 60 min prior to exercise" c. "i will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin" d. "if i get a headache after taking a nitroglycerin tablet, i should report it to my doctor immediately"

c. "i will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin"

a nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. which of the following client statements should indicate to the nurse an understanding of the teaching? a. "i should expect my menstrual flow to increase" b. "i should monitor by blood pressure for hypotension while on this medication" c. "i will take the medication at the same time each day" d. "this type of medication is the most effective because it only contains estrogen"

c. "i will take the medication at the same time each day"

a nurse is reinforcing teaching with a client who has a new prescription for propranolol. which of the following information should the nurse include in the teaching? a. "if you miss a dose, double the next scheduled dose" b. "discontinue this medication if lightheadedness occurs" c. "if your pulse rate is less than 50 bpm, notify your provider" d. "this medication can cause heat intolerance"

c. "if your pulse rate is less than 50 bpm, notify your provider"

a nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. the nurse is to take oxycodone for pain management. the nurse should instruct the client that which of the follow OTC medications is contraindicated while taking oxycodone? a. decussate sodium b. ranitidine c. diphenhydramine d. ibuprofen

c. diphenhydramine

a nurse is reviewing the laboratory results of a client who takes insulin for the management of diabetes mellitus. which of the following findings should indicate to the nurse the medication is effective? a. fasting blood glucose 260 mg/dL b. HbA1c 9.2% c. fasting blood glucose mg/dL d. HbA1c 3%

c. fasting blood glucose mg/dL

a nurse is reinforcing teaching with the parent of a preschooler who has otitis media. the child has had a low-grade fever & irritability for 2 days. which of the following instruction should the nurse include in the teaching? a. "administer amoxicillin twice a day for 3 days" b. apply cold packs every 4 hours for relief of pain" c. give acetaminophen as needed for discomfort & fever" d. return to the office in 72 hrs for a follow-up appointment"

c. give acetaminophen as needed for discomfort & fever"

a nurse is caring for a client who has chronic kidney disease & has been receiving epoetin alfa for 2 weeks. which of the findings should indicate to the nurse that the client's medications is having a desired therapeutic effect? a. albumin is within the expected reference range b. urine output increases to 60 mL/hr c. hemoglobin rises 0.5g/dL d. blood urea nitrogen levels is within the expected reference range

c. hemoglobin rises 0.5g/dL

a nurse is collecting data from a client who is asking taking celecoxib for treatment of joint pain. the nurse should identify that which of the following findings is a contraindication to receiving celecoxib? a. hyperglycemia b. allergy to penicillin c. history of myocardial infarction d. peptic ulcer disease

c. history of myocardial infarction

a nurse is caring for a client who has a new prescription for elplerenone to treat hypertension. the nurse should monitor for which of the following adverse effects of this medication? a. hematuria b. hypernatremia c. hyperkalemia d. constipation

c. hyperkalemia

a nurse is assisting with the care of a client who has MRSA infection & is receiving vancomycin via IV infusion. which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider? a. nausea b. back pain c. hypotension d. chills

c. hypotension

a nurse is monitoring a client who is receiving a transfusion of packed RBCs. the client's temperature increases to 102.4. which of the following actions should the nurse take first? a. obtain a urine specimen b. administer diphenhydramine c. stop the transfusion d. notify the charge nurse

c. stop the transfusion

a nurse is reinforcing teaching with a client who has h. pylori & a new prescription for tetracycline. which of the following instructions should the nurse include in the teaching? a. "expect your urine to turn orange" b. "take the medication with 240 mL of milk" c. "watch for excessive bleeding when brushing your teeth" d. "avoid prolonged exposure to sunlight"

d. "avoid prolonged exposure to sunlight"

a nurse is reinforcing teaching with a client who has a prescription for alendronate. which of the following client responses indicates to the nurse an understanding of the teaching? a. "i will take the medication with my breakfast" b. "i will take the medication with 1 tbsp of an antacid" c. "i will lie down for 30 min after taking the medication" d. "i will take the medication with 8 ounces of water"

d. "i will take the medication with 8 ounces of water"

a nurse is preparing to administer a prn medication to a group of clients. which of the following clients should the nurse administer medication to first? a. a client who has GERD & requests an antacid b. a client who reports constipation for 3 days & requests a stool softener c. a client who has mild generalized anxiety disorder & requests an anti anxiety medication d. a client who is attending postoperative physical therapy & requests pain medication

d. a client who is attending postoperative physical therapy & requests pain medication

a nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills & capsules. available is diphenhydramine syrup 12.5 mg/5 mL PO. which of the following nursing actions requires the completion of an incident report? a. giving the medication at 2140 b. administering the medication with grapefruit juice c. giving the medication when the client's apical pulse is 58/min d. administering 25 mL of the syrup

d. administering 25 mL of the syrup

a nurse is contributing to the plan of care for a client who has schizophrenia & a new prescription for clozapine. the nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? a. hypoglycemia b. iron-deficiency anemia c. serotonin syndrome d. agranulocytosis

d. agranulocytosis

a nurse is caring for a client who has hyperthyroidism & has been taking methimazole. which of the following laboratory findings should indicate to the nurse that the medication has had a therapeutic effect? a. decreased blood glucose level b. increased Hgb c. increased platelets d. decreased T4

d. decreased T4

a nurse is monitoring a client who is receiving repaglinide for DM II. which of the following laboratory test should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication? a. fasting blood glucose level b. 1-hr oral glucose tolerance test c. urinary ketones d. glycosylated HbA1c

d. glycosylated HbA1c

a nurse is collecting data from a client who is taking ferrous sulfate orally. which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect? a. passage of a soft, formed stool daily b. decreased number of viral illnesses c. improved ability to fall asleep d. increased tolerance to exercise

d. increased tolerance to exercise

a nurse is reinforcing teaching with a client who has bipolar disorder & a new prescription for lithium. which of the following instructions should the nurse include in the teaching? a. take the medication on an empty stomach b. monitor for sign of hyperthyroidism c. watch for signs of urinary retention d. maintain a consistent sodium intake

d. maintain a consistent sodium intake

a nurse is reviewing the history of a client who is to start taking cefotetan to teat a bacterial infection. which of the following information from the client's medical record should the nurse report to the provider before the client begins receiving this medication? a. hearing impairment b. milk-protein allergy c. tendon pain d. penicillin allergy

d. penicillin allergy

a nurse is reviewing the medical record of a client who has a prescription for cephalexin to treat pneumonia. which of the following data should the nurse report to the provider before the client receives this medication? a. neomycin sensitivity b. egg allergy c. alcohol sensitivity d. penicillin allergy

d. penicillin allergy

a nurse is planning to administer metoprolol to a client who has heart failure & a heart rate of 48/min. which of the following actions should the nurse take? a. ambulate the client before administering the medication b. give the medication when the client has an empty stomach c. administer one-half of the client's prescribed dose d. withhold the client's medication

d. withhold the client's medication