Pharm exam 3

a client tells the nurse she took a dose of dimenhydrinate/ dramamine before coming to the health care clinic. the nurse determines that the medication is effective when the client reports relief of?

nausea

A nurse who is teaching a client who is about to start taking docusate (Colace) should make sure that the client understands that this medication should result in

regular bowel movements.

A nurse is teaching a client who has multiple sclerosis about starting therapy with baclofen (Lioresal) which of the following instructions should the nurse include?

"Avoid driving until the drug's effects are evident."

A nurse is teaching a client who takes pain medication and was recently prescribed docusate sodium (Colace). Which of the following statements indicates the client understands the information?

"I am to have 1 to 2 soft stools each day."

A nurse is performing discharge teaching for a client who is taking phenytoin (Dilantin). Which of the following comments by the client should alert the nurse that further teaching is needed?

"I'll be glad when I am free of seizures so I can stop taking this medicine."

A provider prescribes fluoxetine (Prozac) for a client who reports frequent periods of extreme sadness. The nurse teaching the client knows he understands how to take this medication when he makes which of the following statements?

"I'll take this medicine first thing in the morning."

a client who has gastric ulcer is about to start taking sucralfate/ carafate. the nurse determines that teaching was effective when the client states that he will take this medication

1 hour before meals

1. A nurse is talking with a client who has peptic ulcer disease and is starting therapy with sucralfate (Carafate). The nurse should instruct the client to take the medication

1 hr before meals.

A nurse is preparing to administer an IV injection of phenytoin (Dilantin) to a client. Which of the following nursing actions is appropriate?

Administer a saline solution after injection.

A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following meds should the nurse suspect is contributing to the client's falls?

Alprazolam

A nurse is caring for a client who has a prescription for clozapine (Clozaril). Which of the following is an expected response to this medication?

Decreased auditory hallucinations.

A nurse has just administered a dose of diazepam (Valium) to a client. Which of the following actions should the nurse take before she leaves the client's room?

Put up the side rails on the client's bed.

A nurse is caring for a client who has just begun therapy with alprazolam (Xanax) to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?

Sedation

A nurse is teaching a patient who has rheumatoid arthritis about taking methotrexate (Rheumatrex). The nurse should tell the patient to

drink 2 to 3 L of water per day to promote its excretion.

A nurse at an ophthalmology clinic is caring for a client who has open-angle glaucoma. The client is started on a treatment regimen of timolol (Timoptic) and pilocarpine (Pilocar) eye drops. The nurse should understand that these medications will be administered

on a regular schedule for the rest of the client's life.

a nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. for which of the following adverse effects should the nurse monitor

headache

A nurse is attempting to administer a dose of lactulose (Cephulac) to a client who has cirrhosis when the client states, "I don't need this medication. I am not constipated." The nurse should explain that lactulose is also used to decrease serum

Ammonia

1. A nurse is speaking with a client who is about to receive a one-time dose of diazepam (Valium). Which of the following information should the nurse be sure to give to the client?

Diazepam can cause drowsiness.

When talking with a patient about taking cimetidine (Tagamet), the nurse should include which of the following instructions?

Do not take this medication if you start taking blood-thinning medications.

A nurse is caring for a client who has been prescribed timolol (Timoptic). Which of the following is the appropriate procedure for administration of this medication

Drop prescribed amount of medication into the conjunctival sac.

A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement which of the following should be the nurse's priority response?

How long have you been taking the Ducolax

a nurse is performing discharge teaching for a client who has seizures and a new prescription of phenytoin. which of the following statements by the client indicates a need for further teaching?

I'll be glad when I can stop taking this medicine

A nurse is caring for a 2-year-old child who is receiving phenytoin (Dilantin) in suspension form. Which of the following actions should the nurse take before administering each dose?

Shake the container vigorously.

A nurse is caring for client who has a prescription for phenytoin (Dilantin). For which of the following findings should the nurse instruct the client to notify the provider?

Skin rash

A nurse is administering medication to a client. Which of the following medications is most effective when administered with little or no water?

Sucralfate (Carafate)

a nurse is providing instructions about bowel cleansing with polyethylene glycol electrolyte solution for a client who is going to have a colonoscopy. which of the following information should the nurse include?

abdominal bloating might occur

a nurse in a providers clinic is assessing a client who has cancer and a prescription for methotrexate PO. which of the following actions should the nurse take when the client remote bleeding gums

check the value of the clients current platelet count

a client is about to start taking aluminum hydroxide/ amphoral to treat heartburn. the nurse should explain to the client that this medication can cause?

constipation

a nurse is providing teaching for a client who has schizophrenia and a new prescription of fluphenazine. which of the following information should the nurse provide

sleepiness should subside within a week

a client has started to take lithium carbonated/ eskalith to treat bipolar disorder the nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?

sodium

a client is recieving lithium carbonate to treat manic behavior the nurse caring for this client should use which of the following strategies to guide the administration of this medication

telling the client to expect control of manic symptoms 7 to 10 days after starting lithium therapy

a nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4hr as needed. the client asks the nurse how metoclopramide will relieve her nausea. which of the following explanations should the nurse provide?

the medication relieves nausea by promoting gastric emptying

a nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. before administering the medication, the nurse should check to see that which of the following tests have been completed?

thyroid hormone assay

a nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognizer the manifestations of toxicity. which of the following statements by the client indicates an understanding of the teaching?

vomiting is an indication of toxicity

A nurse is teaching a client who is about to start therapy with methotrexate (Rheumatrex) to treat rheumatoid arthritis. Which of the following instructions should the nurse include? (Select all that apply.)

✓ Do not drink alcoholic beverages. ✓ Report unexplained bruising to the provider. ✓Avoid people who have infections.

A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.)

✓Lubricate index finger ✓Insert suppository just beyond the internal sphincter

A nurse is caring for a client who is in renal failure with an elevated serum phosphorous level and is to be started on aluminum hydroxide (Amphojel). The client asks the nurse about potential side effects. The nurse should explain to the client that a common side effect of aluminum-based antacids is

Constipation

a client has been taken omeprazole/ Prilosec for the past 4 weeks. the nurse determines that the medication is effective when the client reports relief from

acid ingestion

A nurse is instructing a pediatric client and his and family about how methylphenidate (Ritalin) will help manage attention-deficit hyperactivity disorder (ADHD). The nurse should explain that this medication therapy will help

increase focus.

a nurse is taking a health history of a client who reports occasionally taking several over the counter medications, including an H2 receptor antagonist. which of the following outcomes indicates the h2ra is therapeutic?

relief of heartburn