Pharm Exam 3 Study Questions
Azathioprine
- inflammatory bowel disease
Sulfasalazine (Azulfidine)
- inflammatory bowel disease
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. At which of the following items should the nurse expect the drug to exert its peak action.
- 0820 (peaks 20 minutes after administration)
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 (ATL) - LDL
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
A nurse should recognize that Diphenoxylate(opioid)/atropine should be used with caution for a client who has which of the following conditions?
- inflammatory bowel disease
A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome 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
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 clients risk for which of the following conditions?
- acute renal failure
Which of the following drugs has protocols that require clients to met 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 has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs?
- aluminum hydroxide
A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hour between taking famotidine and which of the following OTC drugs?
- antacids
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 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 client is about to start aluminum hydroxide tablets to reduce gastric acid. Which instructions should you include when talking with the client about taking this drug?
- chew tablets - drink glass of water after taking it - increase fluid and fiber intake
A client is about to start taking alosetron to treat diarrhea. You should instruct the client to watch for and report which of the following adverse drug reactions of this drug?
- constipation
Bisacodyl
- constipation-stimulant laxative
A client is about to start taking omeprazole to treat a duodenal ulcer. Which of the following instructions should you include when talking with the client about taking this drug?
- consume adequate amounts of fluids
A nurse is assessing a client who was administered ondansetron IV 1 hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug?
- dizziness
You are about to administer ondansetron to a client to prevent anesthesia-induced nausea and vomiting. You prepare to monitor the client for which adverse effects of this drug?
- dizziness
Omeprazole (Prilosec)
- duodenal ulcer
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
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 client is about to start taking Sulfasalazine to treat inflammatory bowel disease. You should instruct the client to watch for and report which of the following adverse drug reactions of this drug?
- fever - sore throat
Cimetidine
- gastrointestinal reflux disease (GERD)
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 client is about to start taking somatropin. You plan to evaluate the effectiveness of this drug therapy with which of the following assessments?
- height and weight
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
You are caring for a client who is taking levothyroxine to treat hypothyroidism. The client reports palpations, weight loss, and diarrhea. You suspect which of the following adverse effects of this drug?
- hyperthyroidism
A nurse at a provider's office is assessing 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 clients dosage?
- hypotension
A nurse is caring for a client who is taking propylthiouracil 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 client is about to start taking hydrocortisone to treat adrenocortical insufficiency. You should instruct the client to do which of the following to help reduce the risk for adverse effects of this drug?
- increase calcium and vitamin D intake - take the drug with food - record weight regularly - report increased stress
A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following should the nurse plant to take?
- infuse the drug 30 minutes prior to chemotherapy - infuse the drug slowly over 15 minutes - repeat the dose 4 hours 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 leak effect in 2hr - use the drug as a supplement to an oral hypoglycemic
When talking with a client about self administering regular insulin (Humulin R), you should include which of the following instructions?
- inject the insulin subcutaneously
A nurse is reviewing medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interact with famotidine?
- ketoconazole
A nurse is caring for a client who is taking metformin to test type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect?
- lactic acidosis (life threatening complication that manifests as muscle aches, etc.
A nurse is caring for an older adult who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?
- lethargy
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?
- lipohypertrophy (a proliferation of fat at the sites of repeated insulin injections)
A female client of childbearing potential is starting therapy to prevent a gastric ulcer. Which of the following instructions should you include when teaching this client?
- mid cycle spotting can occur - take a pregnancy test prior to therapy - report excessive menstrual pain - use effective contraception
Dimenhydrinate
- motion sickness
You are about to administer Diphenoxylate plus atropine to a client to reduce diarrhea. Which drugs should you have available to treat on overdose of this drug combination?
- naloxone
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 providing teaching to a client about taking fludocortisone 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 prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following?
- one formed stool per day
You are caring for a client who is taking exenatide (Byetta) to treat type 2 diabetes mellitus. The client reports severe abdominal pain. You suspect which of the following adverse resections to this drug?
- pancreatitis
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 finger stick blood glucose check
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 assessing a client who has a new prescription for levothyroxine (thyroid replacement). The nurse should identify which of the following findings as a contraindication for this drug?
- recent myocardial infarction (heart attack)
A client is starting therapy with psyillium. You explain to the client that psyllium will have which of the following therapeutic effects?
- relieve constitution - reduce diarrhea
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 (kidneys eliminate drug virtually intact)
When talking with a 30 year old woman who will receive radioactive iodine-131 to treat Grave's disease, you should include which of the following instructions?
- report weight gain and edema - use effective contraception - allow 2 to 3 months for full effect - expect periodic blood sampling
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 takes repaglinide 15 to 30 minutes 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 caring for a client who is about to begin taking propylthiouracil to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects?
- sore throat - join pain - bradycardia - rash
Docusate Sodium
- stool softener
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 hours apart for which of the following reasons?
- sucralfate interferes with the absorption of phenytoin
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 client is given conjugated estrogen and medroxyprogesterone acetate to treat post menopausal vasomotor symptoms. The health care provider instructs the client to monitor for which of the following, which may indicate a serious adverse effect of the conjugated estrogen and medroxyprogesterone acetate?
- swelling or pain in calf
A client is about to start taking sustained release glipizide to treat type 2 diabetes mellitus. Which of the following instructions should include when talking with the client about taking this drug?
- take it once a day, 30 minutes before breakfast
A nurse is proving 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 of fluid - increase fluid and fiber intake
You are caring for a client who takes acarbose (Precose) and a sulfonylurea to treat type 2 diabetes mellitus. Which of the following is and indication of an adverse reaction to this drug combination?
- termors (hypoglycemic)
A nurse is caring for s male client who asks about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) 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-D lasting more than 6 months
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?
- the nurse should instruct the client to administer pramlintide before meals
Drug - Hydrocortisone
- therapeutic use: Addison's disease
Drug - Desmopressin (DDAVP)
- therapeutic use: diabetes insipidus
Drug - Levothyroxine
- therapeutic use: hyperthyroidism
Drug - Glucagon
- therapeutic use: hypoglycemia
Drug - Radioactive Iodine-132
- therapeutic use: thyroid cancer
Drug - Propylthiouracil
- therapeutic use: thyrotoxic crisis
Drug - Somatropin
- therapeutic use: turners syndrome
Drug - Glipizide
- therapeutic use: type 2 diabetes mellitus
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 caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drugs effectiveness?
- urine output (desmopressin is an antidiuretic hormone)
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 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
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
Metoclopramide (Reglan)
Nausea
