Pharm Exam 2
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? "Avoid taking nonsteroidal anti-inflammatory drugs." "Rinse your mouth after taking the medication to prevent a yeast infection." "Stop taking the medication if you become nauseous." "Change position slowly when standing up."
"Avoid taking nonsteroidal anti-inflammatory drugs."
A nurse is admitting a client for total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority? A. Administering a supplemental dose of hydrocortisone B. Instructing the client about coughing and deep breathing C. Collecting additional information about the client's history of Addison's disease D. Inserting an indwelling urinary catheter
A. Administering a supplemental dose of hydrocortisone Adrenal Crisis is the greatest risk to a patient who has Addison's disease, is taking a glucocorticoid and undergoing surgery. To prevent adrenal insufficiency supplemental doses are administered during times of great stress.
A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as a adverse reaction of this medication? A. Bradycardia B. Insomnia C. Heat Intolerance D. Weight loss
A. Bradycardia
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (SELECT ALL THAT APPLY) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation
A. Dry mouth- due to an anti-cholinergic manifestation D. Drowsiness E. Urinary retention- due to an anti-cholinergic manifestation
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? A. Rinse your mouth after each use to reduce the risk of oral fungal infections. B. Limit fluid intake while taking this medication. C. Increase your Vitamin B12 while taking this medication. D. You can take the medication as needed.
A. Rinse your mouth after each use to reduce the risk of oral fungal infections.
A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to report to the provider? A. Somnolence B. Constipation C. Fluid Retention D. Weight gain
A. Somnolence
A nurse is providing information to client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? A. Take the medication with food B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles D. Fluid intake should be limited in the morning.
A. Take the medication with food
A nurse is teaching a client who has a script for long-term of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Weight gain B. Nervousness C. Bradycardia D. Constipation
A. Weight gain
A lab test used to assess long-term blood glucose levels over 3 months.
A1C
Released by the posterior pituitary in response to stimuli from osmoreceptors indicating high blood osmolarity. Its effect is to cause increased water reabsorption by the kidneys. As more water is reabsorbed by the kidneys, the greater the amount of water that is returned to the blood, thus causing a decrease in blood osmolarity.
ADH
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? Ipratropium Beclomethasone Acetylcysteine Azelastine
Acetylcysteine
A disorder where the adrenal gland does not produce enough corticosteroids, and long-term pharmacological replacement therapy is required
Addison's Disease
Responsible for the secretion of aldosterone and cortisol.
Adrenal Cortex
Responsible for the secretion of epinephrine and norepinephrine.
Adrenal Medulla
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler who 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 mineralocorticoid, released by the adrenal cortex, that controls fluid and electrolyte balance through the regulation of sodium and potassium
Aldosterone
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.
Block histamine at the H1 receptor
Antihistamines
These types of respiratory medication may cause paradoxical effects, especially in children: Antihistamines Anticholinergics Antitussives Xanthine Derivatives
Antihistamines
______________are medications which suppresses a cough by depressing the cough center in the medulla oblongata or the cough receptors in the throat, trachea, or lungs, effectively elevating the threshold for coughing: Anticholinergics Expectorants Antihistamines Antitussives
Antitussives
Characterized by airway inflammation and bronchoconstriction
Asthma
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your cough" B. "Expect this medication to smell like rotten eggs" C. "Expect this medication to cause euphoria" D. "Expect this medication to turn your urine orange"
B. "Expect this medication to smell like rotten eggs" It has a sulfur content that causes a rotten-egg odor
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake" B. "It can take as long as 3 weeks before the medication takes a maximum effect" C. "This medication can also be used to treat motion sickness" D. "I can use this medication when my nasal passages are blocked"
B. "It can take as long as 3 weeks before the medication takes a maximum effect"
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day. B. Administer the albuterol inhaler prior to using the beclomethasone Inhaler. C. Use beclomethasone if experiencing an acute episode. D. Avoid shaking the beclomethasone before use.
B. Administer the albuterol inhaler prior to using the beclomethasone Inhaler.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is starting repaglinide (Prandin). Which of the following statements made by the client indicates understanding of the administration of this medication? A. "I'll take this medicine with my meals." B. "I'll take this medicine 30 minutes before I eat." C. "I'll take this medicine just before I go to bed." D. "I'll take this medicine as soon as I wake up in the morning."
B. B. "I'll take this medicine 30 minutes before I eat." Repaglinide causes a rapid, short-lived release of insulin. The client should take this medication within 30 min before each meal so that insulin is available when food is digested.
A nurse is planning caring for for a client who has a new prescription for fortorsemide. The nurse should for should plan to monitor which of the following adverse reactions of this medications? (Select all that apply) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias
B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias
A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation
B. Nasal congestion When used for over 5 days, rebound nasal congestion can occur when taking nasal sympathomimetic medications.
A nurse is providing instructions to a client who has a new script for albuterol, PO. Which of the following instructions should the nurse include? A. You can take this medication to abort an acute asthma attack. B. Tremors are an adverse effect of this medication. C. Prolonged use of this medication can cause hyperglycemia. D. This medication can slow skeletal growth rate.
B. Tremors are an adverse effect of this medication.
inhalers can be used as short term rescue inhalers at times of symptom exacerbation. inhalers should be used to decrease the frequency and severity of asthma attacks.
Beta 2 Agonist Cortocosteroid
Inflammation of the lining of the bronchial tubes
Bronchitis
A nurse is ca ring for a client who has increased intracranial pressure and is receiving mannitol. Which the following finding should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size
C. Dyspnea
Cushing's Syndrome may occur as a side effect of which medication? A. Calcitonin B. Lantus C. Prednisone D. Levothyroxine
C. Prednisone
A nurse is teaching a client who has Grave's Disease and a new script for propranolol. Which of the following client statements indicates effective teaching? A. Propranolol helps increase blood flow to my thyroid gland B. Propranolol is used to prevent excess glucose in my blood C. Propranolol will decrease my tremors and fast heart beat D. Propranolol promotes a decrease of thyroid hormone in my body.
C. Propranolol will decrease my tremors and fast heart beat
A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration? A. Insulin Glargine B. NPH Insulin C. Regular Insulin D. Insulin Lispro
C. Regular Insulin
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Diarrhea B. Anxiety C. Sedation D. Palpitations
C. Sedation Advise client to avoid activities that require alertness.
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. Serum sodium 144 mEq/L B. Urine output 120 m L in 4 h C. Serum potassium 5.2 mEq/l D. Blood pressure 140/90 mm Hg
C. Serum potassium 5.2 mEq/l
Chronic inflammatory lung disease causing obstructed airflow from the lungs
COPD
Theophylline is prescribed for a patient for long-term asthma management. The nurse provides education that when using this medication, which of the following beverage choice should be avoided? Juice Coffee Water Milk
Coffee
Result of a virus affecting the upper respiratory tract.
Cold
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions? Peptic ulcer disease A seizure disorder Anemia Coronary artery disease
Coronary artery disease
A disorder that can result from long-term glucocorticoid therapy. Symptoms can include high blood glucose levels, the development of a moon-shaped face, a buffalo hump on the back of the neck, rapid weight gain, and hair loss
Cushing's Syndrome
A nurse is caring for a client who is prescribed somatropin (Genotropin) to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? A) Bilirubin B) Protein C) Potassium D) Calcium
D) Calcium A large amount of calcium may be present in the urine of the client who takes this drug. This puts the client as risk for renal calculi
A nurse is caring for an older adult client in a long term care facility who has hypothyroidism and is beginning levothryoxine (Synthroid). Which of the following dosage schedules should the nurse expect for this client? A) The client will start a high dose, and the dose will be tapered down as needed B) The client will remain on the initial dosage during the course of treatment C) The clients dosage will be adjusted daily based on blood levels D) The client will start on a low dose, which will be gradually increased
D) The client will start on a low dose, which will be gradually increased
A nurse is reviewing the medical record of a patient who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin? A. Hypovolemia B. Hypercalcemia C. Agitation D. Headache
D. Headache Headache may indicate water intoxication
A nurse is providing teaching to a client who has a new script for pramlintide for type one diabetes. Which of the following should the nurse include in the teaching? SATA A. Take oral medications 30 min before injection B. Use upper arms as preferred injection site C. Mix pramlintide with breakfast dose of insulin D. Inject pramlintide just before a meal E. Discard Open vials after 28 days.
D. Inject pramlintide just before a meal E. Discard Open vials after 28 days.
A disease characterized by underproduction of ADH that causes chronic dehydration
DI
Pseudoephedrine is a type of _______________ which acts directly on the adrenergic receptors and indirectly releases norepinephrine from its storage sites: Decongestant Corticosteriod Antihistamine Beta 2 Agonist
Decongestant
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? Thins mucus Relaxes bronchial smooth muscle Decreases inflammation Increases the cough threshold
Decreases inflammation
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
Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks? Respiratory depression Drug abuse Drug tolerance Rebound congestion
Drug abuse
Reduce the viscosity of tenacious secretions by irritating the gastric vagal receptors that stimulate respiratory tract fluid, thus increasing the volume but decreasing the viscosity of respiratory tract secretions
Expectorants
Anticholinergic medications are used for fast acting relief of bronchoconstriction during an asthma exacerbation. True or False?
False
Antitussive medications should be diluted with water to enhance effectiveness. True or False?
False
Patients receiving mineralocorticoid therapy (such as fludrocortisone) should be monitored for Na and H2O loss. True or False?
False
Use of Methylprednisolone IV may result in the suppression of blood glucose. True or False?
False
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? Check apical pulse before taking the drug. Take the drug only as needed before exercising. Rinse mouth after using the drug. Have laboratory tests performed at regular intervals.
Have laboratory tests performed at regular intervals.
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? Headache Sleepiness Hypotension Constipation
Headache
The use of insulin products can cause an electrolyte shift resulting in which of the following imbalances? Hyperkalemia Hypernatremia Hypokalemia Hyponatremia
Hypokalemia
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? Take drugs as needed for acute asthma Follow low sodium diet Use an alternate day dosing schedule Increase weight bearing activity
Increase weight bearing activity
A nurse is caring for a client in an outpatient facility who has been taking acarbose for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to monitor? A. WBC B. Amylase C. Platelet count D. LFT
LFT
For which of the following reasons should a nurse instruct a client to avoid taking guaifenisin with combination over-the-counter cold products? Over-the-counter cold products can also contain guaifenesin. Blood glucose levels are increased. Rebound congestion is likely. Drug tolerance is likely.
Over-the-counter cold products can also contain guaifenesin.
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
Responsible for the secretion of insulin and glucagon.
Pancreas
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? Reduced antitussive effect of dextromethorphan Potentiation of depression of CNS actions Increased renal reabsorption of the dextromethorphan Delayed analgesic effect of the opioid
Potentiation of depression of CNS actions
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
When mixing a rapid acting insulin and intermediate acting insulin, the insulin should be drawn into the syringe first and then the insulin is added.
Rapid (Regular) Intermediate (NPH)
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation Reduces inflammation
Reduces inflammation
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? Suppresses the cough stimulus Reduces surface tension Reduces inflammation Dries mucous membranes
Reduces surface tension
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? Blood pressure Apical heart rate Respirations Level of consciousness
Respirations
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? SATA Restlessness Bradycardia Insomnia Muscle pain Anxiety
Restlessness Insomnia Anxiety
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the client's drug level indicates toxicity? Seizures Constipation Normal sinus rhythm Somnolence
Seizures
A nurse is teaching a client about the use of mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? Suppresses the cough stimulus Reduces inflammation Thins and loosens mucus Dries secretions
Thins and loosens mucus
Responsible for the secretion of thyroxine, triiodothyronine, and calcitonin.
Thyroid Gland
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
Long acting insulins have a relatively constant concentration, and no pronounced peak, in comparison to intermediate acting insulins. True or False?
True
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? SATA Muscle tremors Urinary retention Dry mouth Insomnia Tachycardia
Urinary retention Dry mouth
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? Do not drink anything for 30 min after using the drug. Wait 5 min between using the drug and another inhaled drug. This drug is used to thin respiratory secretions. Check pulse rate after inhaling the drug.
Wait 5 min between using the drug and another inhaled drug.
A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching? [] "we will use a different spot for injection each time we give the medication" [] "we'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain" [] "we'll watch our child for signs of low blood sugar while using somatropin" [] "we should stop the medication if our child loses weight"
[] "we will use a different spot for injection each time we give the medication"
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action? [] 0820 [] 0900 [] 1030 [] 1100
[] 0820
A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include? [] mix pramlintide with insulin in the syringe [] administer pramlintide before meals [] take pramlintide once daily at bedtime [] inject pramlintide into the upper arm
[] administer pramlintide before meals
A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following laboratory values? (select all that apply) [] thyroid-stimulating hormone (TSH) [] alanine aminotransferase (ALT) [] LDL [] CBC [] creatinine clearance
[] alanine aminotransferase (ALT) [] LDL
A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? [] avoid drinking alcohol [] sit or stand for 30 min after taking the drug [] urinate every 4 hr [] take the drug 2 hr after a meal
[] avoid drinking alcohol
A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs? [] oral contraceptives [] calcium supplements [] beta blockers [] iron supplements
[] beta blockers
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? [] eat more iron-rich foods [] avoid drinking grapefruit juice [] increase fiber intake [] avoid drinking green tea
[] eat more iron-rich foods
A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include? [] take levothyroxine with food to increase absorption [] take levothyroxine with an antacid to reduce gastrointestinal effects [] expect life-long therapy with the drug [] carry a carbohydrate snack at all times
[] expect life-long therapy with the drug
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity? [] naloxone [] diphenhydramine [] acetylcysteine [] glucagon
[] glucagon
When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs? [] somatropin [] hydrocortisone [] glucagon [] desmopressin
[] hydrocortisone
A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage? [] hypotension [] hyperglycemia [] weight gain [] fat redistribution
[] hypotension
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug? [] thyrotoxicosis [] hypothyroidism [] lactic acidosis [] radiation sickness
[] hypothyroidism
A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? (select all that apply) [] inject the drug subcutaneously [] expect the peak effect in 2 hr [] use the drug as a supplement to an oral hypoglycemic [] inject the drug 1 hr after a meal [] discard used pens 10 days after the first use
[] inject the drug subcutaneously [] expect the peak effect in 2 hr [] use the drug as a supplement to an oral hypoglycemic
A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect? [] lactic acidosis [] anticholinergic effects [] extrapyramidal effects [] hypophosphatemia
[] lactic acidosis
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following? [] rapid absorption [] intradermal injection [] injection pain [] lipohypertrophy
[] lipohypertrophy
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include? (select all that apply) [] obtain weight measurement daily [] report weakness or palpitations [] have blood pressure checked regularly [] eat more iron-rich foods [] avoid drinking grapefruit juice
[] obtain weight measurement daily [] report weakness or palpitations [] have blood pressure checked regularly
A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take? [] drink 16 oz of water [] perform a fingerstick blood glucose check [] take another glipizide tablet [] lie down and res
[] perform a fingerstick blood glucose check
A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug? [] bacterial skin infections [] diabetes insipidus [] immunosuppression [] recent myocardial infarction
[] recent myocardial infarction
A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following? [] thyroid disease [] bronchitis [] heart failure [] renal impairment
[] renal impairment
A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make? [] double the dose before the next meal [] take half the dose [] skip the dose [] take the usual dose
[] skip the dose
A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects? (select all that apply) [] sore throat [] joint pain [] insomnia [] bradycardia [] rash
[] sore throat [] joint pain [] bradycardia [] rash
A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following laboratory values? (select all that apply) [] blood amylase [] creatinine clearance [] urine calcium [] blood glucose [] CBC
[] urine calcium [] blood glucose
A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness? [] peripheral pulses [] urine output [] skin integrity [] blood glucose
[] urine output
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings? [] joint pain [] constipation [] weight gain [] dilated pupils
[] weight gain
A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? a. Assess for tinnitus b. Report urine output 50 mL/hr .c. Monitor serum potassium levels. d. Elevate the head of the bed slowly before ambulation e. recommend eating a banana daily
a. Assess for tinnitus c. Monitor serum potassium levels. d. Elevate the head of the bed slowly before ambulation e. recommend eating a banana daily
A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions? hypokalemia hyperglycemia acute renal failure acute pancreatitis
acute renal failure
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? Use a spacer to improve inhalation. Take the drug at the onset of bronchospasm. Rinse mouth to prevent an oral fungal infection. Take the drug once a day in the evening.
ake the drug once a day in the evening.
Montelukast blocks receptors and decreases inflammation.
leukotriene
