Pharm capstone post assessment 1
A nurse is collecting data from a client who has glaucoma and a new prescription for acetazolamide tablets. The nurse should monitor the client for which of the following adverse effects?
Paresthesia
A nurse is reinforcing teaching with a client who is to start taking potassium chloride. Which of the following statements should the nurse include in the teaching?
"take the medication with a full glass water."
A nurse is reinforcing teaching with a newly-licensed nurse about timolol eye drops. Which of the following statements should the nurse include in the teaching?
"timolol decreases intraocular pressure"
A nurse is reinforcing teaching with the parent of an infant who has a new prescription for oral cephalexin to treat cellulitis. Which of the following statements by the parent indicates an understanding of the teaching?
" should notify the provider if my baby develops loose stools."
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include?
"Avoid alcohol when taking this medication."
A nurse is reinforcing teaching with a client who is taking latanoprost for open-angie glaucoma. Which of the following statements by the client indicates understanding of the teaching?
"I might experience a change of color in my iris"
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching?
"I should notify my provider if I experience swelling of my tongue."
A nurse is reinforcing teaching with a client who has a new prescription for topical acyclovir to treat genital herpes simplex. Which of the following statements by the client indicates an understanding of the teaching?
"I should put on rubber gloves before applying the ointment."
A nurse in a clinic is reinforcing teaching about phenylephrine nasal spray with a guardian of a school-age child who has rhinitis. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will have my child blow their nose before using the nasal spray"
A nurse is reinforcing teaching with a client who has a new prescription for levodopa/carbidopa. Which of the following statements by the client indicates an understanding of the teaching?
"I will need to notify my provider if my urine changes color"
A nurse is reinforcing teaching with a client who has a new prescription for alosetron to treat irritable bowel syndrome. Which of the following statements should the nurse include in the teaching?
"Stop taking the medication if you develop constipation."
A nurse is reinforcing teaching with a client who has a new prescription for zolpidem extended release. Which of the following instructions should the nurse include in the teaching?
"This medication can cause daytime drowsiness."
A nurse is reinforcing teaching with a client who has glaucoma and a new prescription for timolol ophthalmic solution. Which of the following instructions should the nurse include in the teaching?
"You might experience temporary stinging after administration."
A nurse is reinforcing discharge teaching with a client who has a new prescription for prazosin. Which of the following instructions should the nurse include in the teaching?
"change positions slowly when moving from a sitting to a standing position"
A nurse is reinforcing teaching with a client who is taking propranolol for hypertension. Which of the following statements should the nurse include in the teaching?
"do not discontinue the medication abruptly"
A nurse is reinforcing teaching with a client who has asthma and a new prescription for montelukast. Which of the following statements by the client indicates an understanding of the teaching?
"i should take this medication before i exercise"
A nurse is reinforcing teaching with a client who is taking lovastatin for hyperlipidemia. Which of the following statements should the nurse include in the teaching?
"notify the provider if you develop muscle pain"
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline to treat Lyme disease. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
-"Take this medication 1 hour before meals." -"Notify the provider if diarrhea develops." -This medication increases your risk for sunburn."
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. In which order should the nurse perform the teaching?
-Determine the clients knowledge of how gout develops -Assist with the development of a teaching plan -Explain to the client that allopurinol works to prevent further attacks of gout -Evaluate the clients understanding of the teaching -Document the teaching in the clients medical record
A nurse is collecting data from a client who has been receiving gentamicin. Which of the following findings should the nurse identify as indications of adverse effects of this medication? (Select all that apply.)
-Ringing in the ears -Nephrotoxicity -nausea
A nurse is reinforcing teaching with the parent of a school-age child who has a new prescription for methylphenidate. Which of the following should the nurse include in the teaching? [SATA]
-the provider might periodically that the child off the medication -notify the school nurse of the new medication -restrict the child's caffeine intake
A nurse is preparing to administer ciprofloxacin 300 mg PO to a client who has a urinary tract infection. The amount available is ciprofloxacin oral suspension 500 mg/5 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero and make sure you know how to do the math!)
3mL
A nurse is caring for a client who has acetaminophen toxicity. Which of the following medications should the nurse anticipate administering?
Acetylcysteine
A nurse is reinforcing teaching with a client about the use of a transdermal clonidine patch. Which of the following instructions should the nurse include in the teaching?
Apply a new patch once weekly
A nurse is caring for a female client who has a history of mitral valve prolapse and requests contraception. The nurse should identify that which of the following contraceptive methods is contraindicated for this client?
Combined oral contraceptive
A nurse is caring for a client who is receiving hemodialysis and has an Hgb of 8 mg/dL. Which of the following medications should the nurse anticipate administering to the client?
Epoetin alfa
A nurse is caring for a client who has hypertension and is taking spironolactone. Which of the following actions should the nurse take?
Monitor the client for hyperkalemia.
A nurse is caring for a client who is receiving IV heparin for treatment of a deep vein thrombosis. Which of the following laboratory values should the nurse monitor?
aPTT
A nurse is collecting data from a client who is receiving long-term therapy with prednisone and reports dizziness. Which of the following laboratory values should the nurse monitor?
blood glucose
A nurse is collecting data from a school-age child who has heart failure and is taking digoxin. Which of the following findings should the nurse identify of digoxin toxicity?
blurred vision
A nurse is collecting data from a client who has a prescription for bethanechol. For which of the following adverse effects should the nurse monitor?
bronchoconstriction
A nurse is reviewing the laboratory results of a client who has diabetes insipidus prior to administering vasopressin. For which of the following laboratory values should the nurse withhold the medication and notify the provider?
creatinine clearance 48mL/min
A nurse is planning care for a client who has chronic back pain with neuropathy. The nurse should anticipate a prescription for which of the following medications?
gabapentin
A nurse is monitoring a client who has just received atropine. Which of the following findings should the nurse identify as an indication that the medication has been effective?
increased heart rate
A nurse is caring for a client who is unconscious and has a blood glucose of 38 mg/dL. The client has just received glucagon subcutaneously. In which of the following positions should the nurse place the client?
lying on the left side
A nurse reinforcing teaching with a client who has unstable angina and a new prescription for clopidogrel. Which of the following instructions should the nurse include in the teaching?
monitor for black, tarry stools
A nurse is caring for a client who has a new prescription for levothyroxine to treat? hypothyroidism. Which of the following actions should the nurse take
monitor the client for chest pain
A nurse is caring for a client who has pneumonia and a new prescription for impenem/cilastatin. For which of the following adverse effects should the nurse monitor?
oral thrush
A nurse is caring for a client who has congestive heart failure and is taking furosemide. For which of the following adverse effects should the nurse monitor?
orthostatic hypotension
A nurse is caring for a client who received lispro insulin subcutaneously 1 hr ago. Which of the following manifestations should indicate to the nurse that the client is experiencing hypoglycemia?
palpitations
A nurse is caring for a client who has a urinary tract infection (UTI) and reports pain with urination. In addition to an antibiotic to treat the infection, the nurse should anticipate a prescription for which of the following medications?
phenazopyridine
A nurse is caring for a client who has Clostridium difficile-associated diarrhea. Which of the following dietary supplements should the nurse anticipate the provider to recommend?
probiotics
A nurse is reviewing the medical history of a 37-year-old female client who wants to begin taking oral contraceptives. Which of the following Findings should the nurse identify as a contraindication for taking oral contraceptives?
smoke cigarettes
A nurse is reinforcing teaching with a client who has bronchitis and a new prescription for guaifenesin. The nurse should explain that which of the following is the purpose of this medication?
thin secretions
A nurse is reinforcing teaching with a client who has an infection and a new prescription for metronidazole. The nurse should instruct the client that which of the following findings is the priority to report to the provider?
tingling of the hands and feet
A nurse is collecting data from a client who has suspected salicylism. Which of the following findings should the nurse expect?
tinnitus
A nurse is preparing to administer diphenoxylate/atropine to a client who has diarrhea. For which of the following adverse effects should the nurse monitor?
urinary retention
A nurse is collecting data from a client who has a new prescription for nitrofurantoin. The nurse should identify that nitrofurantoin is used to treat which of the following conditions?
urinary tract infection
A nurse is reviewing the medication administration record for a client who has a new prescription for trimethoprim/sulfamethoxazole for a urinary tract infection. The nurse should identify that which of the following medications can adversely interact with the newly prescribed medication?
warfarin
A nurse is collecting data from a client taking isoniazid. Which of the following findings should the nurse report to the provider as an adverse effect of the medication?
yellow of the sclera
