Pharm Exam 3
Peak of insulin lispro and aspart
0.5-2.5 hours
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes. At which of the following times should the nurse expect the drug to exert its peak action?
0820
Glargine and detemir onset
1-2 hours
NPH onset
1-2 hours
Humalin R and novalin R peak
1-5 hours
A client is receiving a daily dose of NPH insulin at 0730. The nurse expects the peak effect of this drug to occur at which time?
1330
Insulin lispro and aspart onset of action
15 to 30 min
NPH duration
16-24 hours
Duration of insulin aspart and lispro
2-6 hours
Glargine and detemir duration
24 hours - given at night
Humalin R and novalin R onset
30-60 min
Humalin R and Novalin R duration
6-10 hours
NPH peak
6-14 hours
After starting levothyroxine, it takes _________ to see full therapeutic effects of this medication.
6-8 weeks
A patient is taking levothyroxine for hypothyroidism becomes pregnant. what would you expect her medication dosage requirements to be?
A 50% increase in levothyroxine
A nurse is admitting a client for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority?
Administering a supplemental dose of hydrocortisone
Alpha-glucosidase inhibitors
Acarbose Miglitol
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?
Acetylcysteine
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 prescriptoni for pramlintide therapy to treat type 1 diabetes. Which of the following instructions should the nurse include?
Administer pramlintide before meals
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?
Administer the albuterol inhaler prior to using the beclomethasone inhaler
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? SATA
Alanine aminotransferase LDL
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for 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
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Allow at least 2 weeks for the full therapeutic effect
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 patient is on propylthiouracil. What dietary education would you include for this patient?
Avoid foods with iodine
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
A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. which of the following findings is an adverse effect of desmopressin?
Headache
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 client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication?
Bradycardia
For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products?
Over the counter cold products also contain guafenesin
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?
Palpitations
A nurse is caring for a client who is taking somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following?
Calcium
SGLT-2 inhibitors
Canagliflozin Dapagliflozin Empagliflozin
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?
Coronary artery disease
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?
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?
Drowsiness
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?
Drug abuse
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 manifestations as an adverse effect of this medication?
Dry mouth, drowsiness, urinary hesitation
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes. Which of the following instructions should the nurse include?
Eat more iron-rich foods
GLP-1 receptor agonists
Exenatide, liraglutide
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 teaching the family of a child who has cystic fibrosis and a new prescription for acetylcystiene. Which of the following information should the nurse include in the instructions?
Expect this medication to smell like rotten eggs
A woman who has hypothyroidism will have to stop her thyroid replacement therapy now that she is pregnant?
False
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 prescription for zileuton. Which of the following instructions should the nurse include?
Have laboratory tests performed at regular intervals
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that that which of the following manifestations is an adverse effect of this drug?
Headache
Short acting insulin
Humalin R, Novalin R
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
The nurse at a providers 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 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 nurse is providing teaching to a client who has type 2 diabetes and is starting repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication?
I'll take this medication 30 minutes before I eat
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide. Which of the following statements made by the client indicates understanding of the administration of this medication?
I'll take this medicine 30 minutes before I eat
When is the best time to take levothyroxine?
In the morning
A patient who is taking a thyroid replacement medication begins to experience cold intolerance, depression, constipation, and dry skin. What is the concern?
Inadequate doses of the medication
Concurrent use of levothyroxine and warfarin will?
Increase the anticoagulant effects of warfarin
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?
Increase weight-bearing activity
A patient diagnose with hyperthyroidism (Grave's disease) is given a new prescription for mehtimazole. Which of the following therapeutic effects would you expect the patient to have after taking this medication for 8 weeks?
Increased ability to sleep and decreased heart rate
A nurse is providing teaching to a client who has a prescription for pramlintide for type 1 diabetes. Which of the following should the nurse include in the teaching? SATA
Inject pramlintide just before meal Discard open vials after 28 days
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 hours Use the drug as a supplement to an oral hypoglycemic
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?
It can take as long as 3 weeks before the medication takes a maximum effect
A patient is taking glipizide asks the nurse, How does my insulin pill work, anyway? Which information will the nurse provide to the patient regarding the mechanism of action of glipizide?
It increases insulin production
A nurse is caring for a client who has a prescription for metformin. The nurse should monitor the client for which of the following adverse effects?
Lactic acidosis
A nurse is caring for a client who is taking metformin to treat type 2 diabetes and reports muscle pain. Which of the following adverse reactions should the nurse suspect?
Lactic acidosis
DPP-4 inhibitors
Linagliptin, saxagliptin, sitagliptin
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 nurse is caring for a client who has been taking acarbose for type 2 diabetes. Which of the following laboratory tests should the nurse plan to monitor?
Liver function tests
Intermediate acting insulin
NPH (Humulin N, Novolin N)
A nurse is carrying for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication?
Nasal congestion
Glargine and Detemir Peak
No peak
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include? SATA
Obtain weight measurement daily Report weakness or palpitations Have blood pressure checked regularly
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?
Wait 5 min between using the drug and another inhaled drug
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
Thiazolidinediones (TZDs)
Pioglitazone Rosiglitazone
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?
Potentiation of depression of CNS actions
amylin mimetics
Pramlintide
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?
Prevent histamine from binding to receptors
A nurse is teaching a client who has Grave's disease and a new prescription for propanolol. Which of the following client statements indicates effective teaching?
Propanolol will decrease my tremors and fast heart beat
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 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?
Reduces surface tension
A nurse is teaching clients about the use of insulin to treat type 1 diabetes. For which of the following types of insulin should the nurse tell the clients to expect a peak effect of 1 to 5 hour after administration?
Regular insulin
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
meglitinides
Repaglinide Nateglinide
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?
Respirations
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? SATA
Restlessness, insomnia, anxiety
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include?
Rinse your mouth after each use of this medication
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 manifestations as an adverse effect of this medication?
Sedation
A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 diabetes. 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 providing teaching for a client who has a new prescription of metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect?
Somnolence
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? SATA
Sore throat Joint pain Bradycardia Rash
What is the best lab test to monitor thyroid function?
TSH
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?
Take the drug once a day in the evening
A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client?
The client will start on a low dosage, which can be gradually increased.
A patient has been taking levothyroxine for 6 months. After the month's laboratory work, the physician tells the nurse that the patient is "euthyroid." What does that term mean?
The patient's thyroid hormone levels are within normal limits
A patient is taking levothyroxine for hypothyroidism. The patient reports cold intolerance, loss of eyebrows, bradycardia, brittle nails, and weight gain. Based on these symptoms, what can you determine about the patient's levothyroxine dosage?
The patients levothyroxine dosage is too low
Which of the following statements about biosynthetic long-acting insulins glargine and detemir are correct? SATA
Their onset of action is 1-2 hours. Neither insulin glargine or detemir should be mixed with other insulins
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?
Thins and loosens mucus
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
A patient is prescribed levothyroxine for hypothyroidism. Which of the following symptoms indicate that the patient's medication is dosed too high?
Tremor and palpitations
A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include?
Tremors are an adverse effect of this medication
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? SATA
Urine calcium Blood glucose CBC
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 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 is taking pioglitazone to treat type 2 diabetes. The nurse should monitor for which of the following findings?
Weight gain
A nurse is teaching a client who has a prescription for long-term use 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?
Weight gain
When will the nurse administer the drug acarbose?
With the first bite of the meal
A patient with hyperthyroidism has a fine tremor. What would you anticipate administering to counteract this symptom?
atenolol
The nurse is reviewing the history of a patient who will be taking the amylin mimetic drug pramlintide. Which condition is a contraindication to the use of this drug?
gastroparesis
Long acting insulin
glargine, detemir
sulfonylureas
glipizide, glyburide, glimepiride
The nurse monitoring a patient for a therapeutic response to oral antidiabetic drugs will look for
hemoglobin A1C levels less than 7%
Rapid acting insulin
insulin lispro, insulin aspart
A client is to receive insulin before breakfast, and the time of breakfast tray delivery is variable. The nurse knows that which insulin should not be administered until the breakfast tray has arrived and the client is ready to eat?
lispro
biguanide
metformin
A patient on an antithyroid medication is joining his friends for dinner. The best menu choice for this patient would be:
pasta with marinara no seafood or tofu
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?
reduces inflammation
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
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects?
urinary retention dry mouth
