Pharm Final

A client, whose atorvastatin dosage was recently increased, asks if there are any precautions he should take. How should the nurse respond?

"Call the provider if you experience muscle weakness and have your liver enzymes checked

A client had come to the clinic seeking a prescription for sildenafil. What is a priority assessment question for the nurse to ask?

"Do you use nitroglycerin"

Which of these statements indicates a good client understanding of nitroglycerin self-care practices?

"I should stop what I am doing and sit down before I take nitroglycerin for chest pain"

The nurse is education a client regarding the use of pantoprazole. What statement by the client shows a purpose understanding of taking this medication.

"I should take this medication on an empty stomach before I eat

An asthmatic client understands leukotriene blocker precautions when they make which comment?

"If I take this medicine before bedtime, it might help me avoid an asthma attack in the middle of the night

The client is prescribed intravenous metoclopramide as needed. The client asks how the medication works.

"It promotes gastric emptying and suppresses nausea centers in the brain"

Which statement indicates an understanding of needed self-care precautions in a client taking warfarin.

"My warfarin dose may need to be readjusted when I take a course of antibiotics"

The nurse is caring for a client who had surgery yesterday. When the nurse is administering (Taking this medication, as I do not take it at home,). Which is the most appropriate response by the nurse?

"Omeprazole helps prevent you from developing an ulcer due to the stress of surgery

A nurse observes a student nurse reinforcing teaching to a client on how to take sucralfate. (Would require intervention by the nurse)?

"Take this with your other stomach medications"

The nurse is counseling a neighbor regarding over-the-counter acidity reducing agents. What should the nurse advise?

"These medications can accentuate or inactivate the effects of other medications"

The provider ordered intravenous (IV) 5% dextrose in Lactated Ringers solution at 125mL/hr. gtt/mL. What is the IV rate in gtt/min? (Round to the nearest whole number)

21

While preparing to administer hydrochlorothiazide 25mg PO, the nurse discovers that the client's potassium level is 2.8 (what should the nurse do next)?

A. Hold the medicine, give the client orange juice, and consult the provider for the next steps

The nurse is providing discharge instructions to several clients with new medication prescriptions. Which instructions are correct? Select all that apply

A. When taking ethambutol, notify the provider of any vision changes B. Avoid salt substitutes when taking valsartan for hypertension

A client is having bursts of ventricular arrhythmias. Which medication should the nurse be prepared to give?

Amiodarone

The nurse is teaching a client about sublingual nitroglycerin administration. What statement made by the client indicates a nurse for additional teaching? Select all that apply?

B. "I can swallow my nitroglycerin tablet, but only if I immediately drink a full glass of water E. "I should inform my provider if I experience a headache after taking a sublingual/nitroglycerin tablet C. "I can take up to 3 sublingual nitroglycerin tablets, one tablet every 3 minutes if I experience chest pain"

A client with stable angina is being discharged home with sublingual nitroglycerin. The nurse has completed discharged instructions regarding this medication. Which statement by the client indicates teaching has been effective?

B. "I can take up to 3 pills 5 minutes apart if I experience chest pain"

A client with hypertension is prescribed captopril. The nurse instructs the client to notify their provider (effect occurs)?

B. Cough

A client who has angina is prescribed nitroglycerin. Which are appropriate nursing interventions for nitroglycerin? Select all that apply

B. Have the client sit or lie down when taking nitroglycerin sublingual tablets D. Teach the client who has taken a tablet to call 911 in 5 minutes if chest pain persists A. Warn the client against ingesting alcohol while taking nitroglycerin

A client with asthma exacerbation has been using her albuterol rescue inhaler 10- 20 times a daily (breath). What possible side of albuterol does the nurse? anticipate the client will report? (Select all that apply)

B. Tremors E. Difficulty sleeping A. Hives with pruritus

The nurse is scheduled to give oral metoprolol 25mg to a client. Which of these findings would cause the nurse to hold (medication)?

Blood pressure of 92/44 mm Hg

A client has been prescribed the medication spironolactone. When preparing the client discharge, the nurse should (which of the following instructions)?

C. "Do not take this medication before bedtime" B. "Check your weight daily and keep a record to bring with you to your next appointment" A. "This medication will make you urinate more often" E. "It is important to increase your intake of dark leafy greens"

A client is having a severe asthma attack lasting more than 3 hours after exposure to (chemicals) at work. Emergency department, the client's pulse was 132 beats/minute, respirations 40 breaths/minute, pulse oximetry air, and the client is using accessory muscles to breathe. Lung sounds are diminished with high-pitched wheezing. Based on the assessment the nurse anticipated the administration of which of the following medications? (Select all that apply)

C. Inhaled albuterol nebulizer 20 minutes A. Inhaled ipratropium nebulizer every 20 minutes D. Montelukast 10mg po stat

The nurse is caring for a client with renal insufficiency and reflux issues. What would be the safest way to manage hyperactivity in a client with renal failure?

Calcium carbonate

Prazosin is prescribed for a client with hypertension. Which of these instructions should the nurse include in the teaching plan?

Change from a lying to a sitting position slowly

The nurse is reviewing laboratory data of a client on warfarin for arial fibrillation. The client's (is 5.5, and the client reports prolonged nosebleeds). Which action should the nurse take?

Contact the health care provider and consider a prescription for vitamin K

A client diagnosed with high blood pressure is prescribed lisinopril. Which statement made by the client indicates (teaching has been effective)? Select all that apply?

D. "I should get up slowly when getting out of bed" E. "I should check my blood pressure daily"

Which of these comments by a client taking calcium channel blockers would indicate the need for additional teaching?

D. "I will take the medication with grapefruit juice"

After two episodes of requiring a suppository last month, a dementia care client's (added to his list of daily medications). How should the nurse respond?

D. "Routinely giving magnesium could alter his electrolytes

A nurse is giving discharge instructions to a client who has asthma and is about to start using (other inhalers). Which teaching points are essential for safety? Select all that apply?

D. Take the bronchodilator before taking the steroid inhaler B. Rinse the mouth after using any inhaler, especially this one

The nurse administers a dose of diltiazem to a client as scheduled. It is most important for the nurse to monitor (side effects/adverse effects)?

Dry mouth

The nurse is caring for a client who develops marked edema and low urine output as a result of heart failure. The nurse expects the provider to order for this client.

Furosemide

The client takes diphenoxylate with atropine at least twice daily for diarrhea. Which of these added illnesses might be (affected by her diphenoxylate with atropine intake)?

Glaucoma

Which side effects should the nurse tell a client to expect before administering anti-angina?

Headache

The nurse is preparing to administer scheduled doses of hydrochlorothiazide and digoxin to a client (reports having blurred vision). The nurse notes a heart rate of 58 beats per minute and blood pressure of (action will the nurse take)?

Hold the digoxin and notify the provider

A client is taking a beta-adrenergic blocker. Which of the following interventions are most critical for the nurse to indicate in the pain of care?

Hold the medication if the apical pulse is under 60 beats/minute and seek parameters

What is essential for the nurse to remember when administering potassium supplements?

Hold the medication when potassium levels are above 5.0 mmol/L

The client had been received spironolactone 50 mg PO daily for heart failure. The nurse should closely monitor the client for which conditions?

Hyperkalemia

Why is it preferable to manage constipation in elderly clients with daily (Hydroxide every third day)?

Magnesium accumulated in elderly clients with renal failure

The lab calls to inform the nurse that a clients partial thromboplastin time (PTT) level is 150 seconds. What should the nurse have available?

Protamine sulfate

A nurse is caring for a client with an asthma attack. Blood pressure is 140/88 mm Hg, pulse is 116 beats/minute. Respirations are 40 breaths/minute. The respiratory therapist administered a nebulizer with albuterol as ordered. One hour later. Which finding that indicates the drug has been effective?

Respiratory rate 24 breaths/minute

A nurse is teaching a client with asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid inhaled steroid complications?

Rinse your mouth after inhaling the medicine

Which of the following medications could cause fluid retention and this contributes to heart failure.

Steroids

A nurse is giving discharge instructions to a client who has asthma and is about to start taking (that this medication might cause which of the following adverse effects)?

Tachycardia

A nurse is talking with a client with peptic ulcer disease and is starting therapy (Instructions about the medication)

Take 1 hour before meals and at bedtime

The nurse is planning to discontinue a client's beta-blocker. Which instruction will the nurse give the client regarding the beta-blocker?

The beta-blocker should not be suddenly stopped; the dose should be tapered down

A client will be discharged on digoxin 0.125mg PO daily. What should the nurses include in the client's discharge teaching?

The client should be asked to demonstrate checking their pulse

Clients using promethazine for extended periods should be told to seek professional help?

Tremors or muscle rigidity

Which of these symptoms might be attributed to the anticholinergic components of a combination of albuterol (inhalation) solution?

Urine retention

A nurse prepares a client to undergo a liver biopsy. The nurse administers what pre-op medications?

Vitamin K

What should the nurse advise a client taking loop or thiazide diuretics regarding their self-care?

Weigh daily and report any loss or gain exceeding two pounds in 24 hours