Pharm EAQ 3
A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the drug is effective when the client reports which action as most important?
"Continue taking the medicine even after I feel better."
A client with arthritis is taking large doses of aspirin. What symptom does the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?
Disturbances in hearing
Which is the adverse effect of haloperidol?
Gynecomastia
A young adult client with schizophrenia is prescribed haloperidol. When the nurse administers the medication, the client asks, "What's this for?" The nurse responds that the medication has which effect?
Helps the client relax and think more clearly
Selegiline is prescribed for a client with Parkinson disease who is having an inadequate response to levodopa therapy. What information does the nurse include when teaching the client about the addition of this drug to the regimen?
Primary healthcare provider should be contacted immediately if a severe headache occurs.
A 14-year-old girl in whom scoliosis has been diagnosed undergoes spinal fusion. On the first postoperative day her face is red, she is rigid, and she is crying because she is in pain. She has prescriptions for morphine sulfate for severe pain and an acetaminophen-codeine compound for moderate pain. What information should influence the nurse's choice of analgesic?
Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic.
Why would a client with acquired immunodeficiency syndrome (AIDS) be administered pregabalin?
To reduce neuropathic pain
In addition to hydration during alcohol withdrawal delirium, parenteral administration of lorazepam is prescribed for a client. The nurse knows that this drug is given during detoxification primarily for what purpose?
To reduce the anxiety tremor state and prevent more serious withdrawal symptoms
A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statement?
"I need to have my blood work checked periodically."
The nurse administers a pneumococcal vaccine to a 70-year-old client. The client asks "Will I have to get this every year like I do with the flu shot?" How should the nurse respond?
"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."
After surgery, a client received a prescription for 8 mg of morphine sulfate to be given by injection. The vial on hand is labeled 1 mL = 10 mg. How much solution should the nurse administer? Record your answer using one decimal place and include a leading zero if applicable. ___ mL
0.8
A client who is taking rifampin tells the nurse, "My urine looks orange." What action will the nurse take?
Explain this is expected
A client receiving intravenous vancomycin reports ringing in both ears. Which initial action should the nurse take?
stop the infusion
A client with osteomyelitis receiving ciprofloxacin therapy is taught about the pros and cons of the therapy. Which statement made by the client indicates effective learning?
"I should contact the primary healthcare provider in case of white patches in the mouth."
The nurse is assessing four clients in the postanesthesia care unit (PCU) who are on opioid treatment. Which client does the nurse expect will benefit from an immediate treatment with naloxone?
10 breaths a minute minimal response to verbal and physical stimulation
An 8-year-old child with an influenza B viral infection was treated with aspirin and developed Reye syndrome. Which nursing intervention would be beneficial for this child?
Initiate hyperventilation
A healthcare provider prescribes famotidine and magnesium hydroxide/aluminum hydroxide antacid for a client with a peptic ulcer. The nurse should teach the client to take the antacid at what time?
One hour before or 2 hours after famotidine
What are the desired outcomes that the nurse expects when administering ibuprofen?
Pain Relief Antipyresis Reduced Inflammation
A client is responding within 5 minutes of receiving naloxone to combat respiratory depression from an overdose of heroin. Why will a nurse continue to closely monitor this client's status?
Symptoms of the heroin overdose may return after the naloxone is metabolized.
Carbidopa-levodopa is prescribed for a client with Parkinson disease. The nurse monitors the client for which side effects of the medication?
Vomiting Anorexia Changes in mood
A client with a seizure disorder is receiving phenytoin and phenobarbital. What client statement indicates that the instructions regarding the medications are understood?
"Stopping the drugs can cause continuous seizures and I may die."
A prescription is written for famotidine 20 mg intravenous piggyback (IVPB) every 12 hours. The vial is labeled 10 mg/1 mL. How many milliliters should the nurse administer? Record your answer using a whole number. ___ mL
2
Penicillin G and probenecid are prescribed for an adolescent who has syphilis. The adolescent asks the nurse why two medicines are needed. What should the nurse explain about the rationale for this combination therapy?
"Probenecid delays excretion of penicillin so the blood level of penicillin stays stable longer."
A client with tuberculosis is to begin combination therapy with isoniazid, rifampin, pyrazinamide, and streptomycin. The client says, "I've never had to take so much medication for an infection before." How will the nurse respond?
"This type of organism is difficult to destroy."
A nurse teaches the parents of a 7-year-old girl who has been prescribed long-term phenytoin therapy about care pertinent to this medication. Which statement indicates that the teaching has been effective?
"We'll have her massage her gums and floss her teeth frequently."
The primary healthcare provider has prescribed rifampin to a client with tuberculosis. Which instructions by the nurse will be beneficial to the client? Select all that apply.
"You should report any yellow tinge to your skin." "Your soft contact lenses will be stained permanently." "You should report any increased tendency to bruising or bleeding."
An infant child with juvenile idiopathic arthritis is seen in the clinic. Ibuprofen 90 mg by mouth every 6 hours is prescribed. Ibuprofen is available in a solution of 100 mg/2.5 mL. How many milliliters will the nurse instruct the parents to give with each dose? Record your answer using two decimal places
2.25
A child is to receive 60 mg of phenytoin. The medication is available as an oral suspension that contains 125 mg/5 mL. How many milliliters should the nurse administer? Record your answer using one decimal place. ____ mL
2.4
Which is a second-generation antidepressant drug?
Citalopram
Which is a later symptom of acute aspirin poisoning seen in children?
Confusion
Twenty minutes after the start of an intravenous (IV) vancomycin infusion, the client appears flushed and complains of palpitations. What action should the nurse take?
Contact the primary healthcare provider to obtain a prescription to decrease the infusion rate.
What should the nurse consider as the goal of therapy when administering allopurinol to a client with gout?
Decrease uric acid production
A health care provider prescribes famotidine for a client with dyspepsia. What is important to include about this medication in a teaching program for this client?
Decreases secretions in the stomach
A client is treated with lorazepam for status epilepticus. What effect of lorazepam does the nurse consider therapeutic?
Depresses the central nervous system (CNS)
A nurse administers carbidopa-levodopa to a client with Parkinson disease. Which therapeutic effect does the nurse expect the medication to produce?
Replacement of a neurotransmitter in the brain
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication does the nurse conclude that the client probably is experiencing?
Salicylate toxicity
The nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous morphine sulfate. What should the nurse do immediately in this situation?
Stop administering the medication
A client has received instructions to take 650 mg aspirin every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching?
Take the aspirin with meals or a snack Do not chew enteric-coated tablets Report persistent abdominal pain
A healthcare provider prescribes oral aluminum-magnesium hydroxide and intravenous ranitidine for a client with traumatic burns and crush injuries. The client asks how these medications work. What is the nurse's best response?
They limit acidity in the gastrointestinal tract."
A client who is receiving haloperidol, 5 mg three times a day, complains of twitching of the fingers. What is the best response by the nurse?
"I'll ask the primary healthcare provider to prescribe a medication that'll help overcome this. It's a side effect of the drug you're taking."
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the nurse what this medication does. Which action does the nurse mention when replying?
Inhibits gastric acid secretion
A client with respiratory distress due to an overdose of antidepressant drugs is hospitalized. Which intervention should be performed as a priority?
Intubating the client
