Pharm Exam 2 (ATI)

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

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?

Hypothyroidism

A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy?

Ibuprofen

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Inflammatory bowel disease

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms?

Inhibiting cyclooxygenase action in platelets

A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include?

"It is important to report any noticeable rash immediately as it might indicate an issue with your liver"

A nurse is instructing a client how to self-administer enfuvirtide. Which of the following instructions should the nurse include?

"Allow the vial to sit until the solution is completely clear and without particulates."

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include?

"Avoid driving or activities requiring alertness."

A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client?

"Bring in a stool sample for testing"

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?

"I should apply the medication to a different site each time."

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction?

"Use additional birth control methods."

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?

"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

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 the injection each time we give the medication."

A nurse is teaching a client about immunizations. Which of the following information should the nurse include in the teaching?

"You should receive a tetanus booster every 10 years."

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include?

-"Cover the area of application with clothing" -"Wash your hands after applying the gel" -"Do not shower for several hours after applying the gel"

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions?

-Acetaminophen -Diphenhydramine

A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform?

-Administer the drug subcutaneously -Roll the vial gently to reconstitute the solution -Inject the solution at room temperature

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?

-Alanine aminotransferase (ALT) -LDL

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include?

-Avoid driving and activities that require alertness -Increase fluid intake -Stay close to a bathroom after taking the drug

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it?

-Cefotetan -Metronidazole

A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include?

-Clean fruits and vegetables thoroughly -Weigh yourself daily -Perform hand hygiene frequently -Avoid grapefruit and grapefruit juice

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drugs?

-Dilated pupils -Dizziness -Distended bladder -Fever

A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include?

-Eat iron-enriched foods -Spread the dosage across each day -Take the drug on an empty stomach -Increase dietary fiber intake

A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take?

-Encourage the client to urinate prior to insertion -Remove the pouch when active labor begins -Monitor for uterine hyperstimulation -Monitor the client's temperature

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take?

-Give the client an antihistamine -Administer the drug through non-PVC tubing -Use an in-line filter

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take?

-Infuse the drug 30 min prior to chemotherapy -Infuse the drug slowly over 15 min -Repeat the dose 4 hr after chemotherapy

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?

-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 about to begin taking isoniazis to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drugs?

-Jaundice -Numbness of the hands -Dizziness

A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include?

-Obtain weight measurement daily -Report weakness or palpitations -Have blood pressure checked regularly

A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects?

-Paresthesia -Sore throat -Flank pain -Tinnitus

A nurse is caring for a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects?

-Paresthesia -Cough -Jaundice -Fever

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects?

-Reduces the risk of ovarian cancer -Relieves hot flashes -Prevents osteoporosis

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction?

-Skin integrity -Temperature -CBC

A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hypothyroidism. The nurse should instruct the client to report which of the following adverse effects?

-Sore throat -Joint pain -Bradycardia -Rash

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include?

-Take the drug 30 to 60 min before activities that trigger nausea -Avoid activities that require alertness -Increase fluid and fiber intake

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include?

-Take the drug with at least 8 oz (237 mL) of fluid -Increase fluid and fiber intake

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?

-Urine calcium -Blood glucose

A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include?

-Use contraception if pregnancy is a risk -Perform oral hygiene frequently -Perform hand hygiene frequently

A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug?

-Wheezing -Dysrhythmias -Hypotension -Fever

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 actions?

0820

A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age range should the nurse include?

11 to 12 years old

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

A positive pregnancy test

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug?

Abdominal pain

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?

Acute renal failure

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?

Administer pramlintide before meals

A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take?

Administer via IV bolus over 1-3 min

A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions?

Advanced HIV

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

Which of the following drugs has protocols that requires clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug?

Alosetron

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to adminsiter?

Alteplase

A nurse is reviewing the medical record of a client who is taking heparin following an acute myocardial infarction (MI). Which of the following drugs should the nurse expect the client to be taking in conjunction with the heparin?

Alteplase

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 about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction?

Aminocaproic acid

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?

Beta blockers

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?

Bethanechol

A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking ranitidine and which of the following over-the-counter drugs?

Antacids

A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity?

Artificial active immunity

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?

Aspirin sensitivity

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?

Avoid activities that require alertness

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

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?

Azithromycin

A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?

BUN

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescriptions with the provider because taking these two drugs concurrently can increase the client's risk for which of the following?

Bleeding

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?

Blood clots

A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client?

Call emergency services immediately

When administering erythromycin to a patient who has cystic acne, a nurse should monitor for which of the following adverse effects?

Cardiac dysrhythmia

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?

Change positions slowly

A nurse should recognize the maraviroc is used in the treatment of which of the following conditions?

Chemokine receptor 5 (CCR5) -tropic HIV-1

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?

Clarify the prescription with the provider

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?

Clopidogrel

A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following?

Clostridium difficile-associated diarrhea

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

Constipation

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug?

Cough

A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX practically eliminates the risk for which of the following?

Creutzfeldt-Jakob disease

A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?

Deep vein thrombois

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to use to treat his complications?

Deferoxamine

A nurse is caring for a client who is about to begin receiving acylovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?

Dehydration

A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity?

Dexamethasone

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

Dietary modifications

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 providing teaching to a client about slidenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?

Do not take the drug with high-fat foods

A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Whic of the following instructions should the nurse include?

Eat more iron-rich foods

A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?

Edema

A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Enlarged spleen

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?

Erectile dysfunction for which he takes sildenafil

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?

Ethacrynic acid

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?

Expect life-long therapy with the drug

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?

Follicular maturation

Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?

Glucagon

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 the guardian of a 4-month-old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include?

Haemophilus influenzae type B (Hib)

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?

Have blood pressure checked regularly

A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the nurse take?

Have emergency equipment ready

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?

Headache

After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?

Heart rate

A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider?

Hemoglobin 7.1g/dL

A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age?

Herpes zoster vaccine

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?

Hgb

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?

Hydrocortisone

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following?

Hyperkalemia

A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?

Hypertension

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?

Isoniazid

A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interacts with ranitidine?

Ketoconazole

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

A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following maifestations?

Lethargy

A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevents which of the following?

Lipohypertrophy

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

Nausea

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alestron therapy is effective when the client reports which of the following?

One formed stool per day

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulation syndrome

A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?

Peptic ulcer disease

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?

Perform a fingerstick blood glucose check

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?

Perform weight-bearing activities

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects?

Prevents straining

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values?

Prolactin level

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values?

Prostate-specific antigen (PSA)

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?

Rapid pulse

A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug?

Rash

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?

Recent myocardial infarction

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

Renal impairment

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?

Renal impairment

A nurse should recognize that raltergravir is used to treat clients who have which of the following conditions?

Resistant HIV

A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following laboratory values to determine therapeutic effectiveness?

Reticulocyte count

A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?

Seizure disorder

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?

Skip the dose

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ehtinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication?

Smokes half a pack of cigarettes a day

A nurse is administering cefotetan IV to a client to treat bacterial meningitis. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?

Stop the cefotetan infusion

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons?

Sucralfate interferes with the absorption of phenytoin

A nurse in a provider's office receives a call from a client who is taking imipenem to treat a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?

Superinfection

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?

Swallow the capsule whole

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?

Swelling of hands or feet

A nurse provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection. Which of the following instructions should the nurse give the client?

Take an antacid at least 2 hr before taking the drug

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client?

Take the missed dose as soon as possible

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

Tendon pain

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-ID) lasting 3 months. Which of the following information should the nurse provide the client about alosetron?

The drug is prescribed to female clients who have IBS-ID lasting more than 6 months

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

Third generation cephalosporins

A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. the nurse should monitor the client for which of the following adverse reactions?

Thrombocytopenia

A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons?

To prevent drug resistance

A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?

Trastuzumab

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?

Uncontrolled bleeding

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?

Urine output

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?

Urine output

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraceptive

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction?

Vaginal bleeding

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?

Vaginal dryness

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?

Vancomycin

A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies?

Vitamin B12

A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

Vitamin K

A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effects of the drug?

Weak hand grasps

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug?

Wear gloves when handling the tablet

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?

Weight gain