Pharm - final
A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?1. Temporary loss of libido2. Dizziness3. Bradycardia4. Burning with urination
ANS: Dizziness
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?1. Danazol2. Finasteride3. Fluoxymesterone4. Methyltestosterone
ANS: Finasteride
A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus plans to undergo angiography using iodine-containing contrast dye. The health care professional should recognize that interaction between metformin and the IV contrast dye can increase the patient's risk for which of the following? A) HypokalemiaB) HyperglycemiaC) Acute renal failureD) Acute pancreatitis
Acute renal failure
A nurse is providing teaching to the parents of a school-age child who has athma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute athma attack ?
Albuterol
A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client to avoid adverse effects of this drug?Begin taking the drug at a low dosage.Discontinue the drug immediately if diarrhea occurs.Have serum glucose levels checked regularly.Take the drug on an empty stomach
Begin taking the drug at a low dosage.
A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug?Muscle painPeripheral edemaBlack, tarry stoolsRedness in the calf
Black, tarry stools
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?Bone marrow depression Thrombocythemia Double visionConstipation
Bone marrow depression
A health care professional is caring for a patient who is about to begin insulin glargine (Lantus) therapy. The health care professional should recognize the need for additional precautions because the patient also takes which of the following types of drugs?...A) Oral contraceptivesB) Calcium supplementsC) Beta blockersD) Iron supplements
C) Beta blockers
A health care professional is caring for a patient who is about to begin levothyroxine (Synthroid) therapy to treat hypothyroidism. Which of the following instructions should the health care professional include when talking with the patient about taking the drug?....A) Take levothyroxine with food to inccrease absorption.B) Take levothyroxine with an antacid to reduce GI effects.C) Expect life-long therapy with the drug.D) Carry a carbohydrate snack at all times. C) Expect life-long therapy with the drug.
C) Expect life-long therapy with the drug.
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?A. Refrain from crushing the tabletB. Withhold the medication if the client doesnt eatC. Wear gloves when handling the tabletD. Monitor heart rate prior to administration
C. Wear gloves when handling the tablet
A patient allergic to penicillin is being evaluated for a gram-negative infection. Which antimicrobial drug class would the health care provider be cautious in prescribing because of a possible cross sensitivity and/or allergic reaction?A. CephalosporinsB. Aminooglycosides C. SulfonamidesD. Quinolones
Cephalosporins
A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?Administer 50,000 units of heparin by IV bolus every 12 hoursCheck aPTT ever 4 hoursHave vitamin K available on the nursing unitUse IV tubing specific for heparin sodium when administering the infusion
Check aPTT every 4 hours
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? DVT COPD diabetes mellitus alcohol use disorder
Deep-vein thrombosis
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?Take the drug with a glass of grapefruit juice.Do not take the drug with high-fat foods.Increase intake of foods rich in vitamin K.Avoid aged cheeses and red wine.
Do not take the drug with high-fat foods.
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? a. draw a trough level at 0900 and a peak level at 2100b. draw a peak level 90 min prior to administering the med and trough level 90 min after the dose c.Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dosed. draw a peak level at 0900 and a trough level at 2100
Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.
a nurse is teaching a newly licensed nurse about assessing a client to receive naloxone to treat opioid toxicity. The nurse should include that which of the following findings is indicated that intervention is effective
Elevated respirations
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 acidDiphenhydramineAcetaminophenLevothyroxine
Ethacrynic acid
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Fundus firm to palpation
You are caring for a patient who is about to receive gentamicin (an aminoglycoside) to treat a systemic infection. You should question the use of the drug for a patient who is also taking which of the following drugs? Furosemide (Lasix )Diphenhydramine Acetominophen (Tylenol)Levothyroxine (Synthroid)
Furosemide (Lasix)
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 constipation insomnia hirsutism
Gout
a patient is prescribed carvedilol. which of the following parameters should the nurse instruct the patient to monitor? HR slower than 60 Potassium Palpitations Headache
HR slower than 60
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects?Muscle tremorsUrinary retentionDry mouthInsomniaTachycardia
Urinary retention Dry mouth
You are caring for a patient who is about to begin gentamicin therapy to treat an infection. You should monitor the patient for which of the following?Bowel functionPeripheral pulsesUrine outputLevel of consciousness
Urine output (nephrotoxicity)
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?Do not drink anything for 30 min after using the drug.Wait 5 min between using the drug and another inhaled drug.This drug is used to thin respiratory secretions.Check pulse rate after inhaling the drug.
Wait 5 min between using the drug and another inhaled drug.
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?a. dissolve the powder thoroughly in 8 oz of waterb. take w/ diphenhydramine to prevent extrapyramidal effectsc. avoid activities that require alertnessd. take 30 min before activities that trigger nausea
c. avoid activities that require alertness
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?a. Sleep modificationsb. Fluid modificationsc. Driving modificationsd. Dietary modifications
d. Dietary modifications
A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction (MI). Which of the following medications should the nurse expect the client to be taking in addition to the alteplase?a. Protamineb. Desmopressinc. Ferrous sulfated. Heparin
d. Heparin
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?a. Activating thromboxane A2b. Blocking adenosine diphosphate receptor agonistsc. Suppressing specific clotting factorsd. Inhibiting cyclooxygenase action in platelets
d. Inhibiting cyclooxygenase action in platelets
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? a. Filgrastim b. Deferoxamine c. Protamine d. Vitamin K
d. Vitamin K
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?a. PTb. WBCc. Hgbd. Platelet
c. Hgb
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which information should the nurse include?1. "I will remove the electronic fetal monitor once contractions are regular"2. "You can push the button on the control device to administer more medication"3. "Your contractions will become stronger and more frequent"4. "This medication will help prevent nausea and vomiting"
"3. "Your contractions will become stronger and more frequent"
A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (Select all that apply)A) "Apply a new patch at the onset of anginal pain."B) "Apply the patch to dry skin and cover the area with plastic wrap."C) "Apply the patch to a hairless area and rotate sites."D) "Apply a new patch when you start your day."E) "Remove patches for 10 to 12 hours each day."
"C) "Apply the patch to a hairless area and rotate sites."D) "Apply a new patch when you start your day."E) "Remove patches for 10 to 12 hours each day."
A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? "Use a nonsteroidal anti-inflammatory drug to reduce toxicity.""If you miss a dose, go ahead and take it with the next scheduled dose.""Drink a minimum of 2 liters of water per day to promote the drug's excretion.""Take it in the morning to prevent insomnia."
"Drink a minimum of 2 liters of water per day to promote the drug's excretion."
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements made by the client indicates an understanding of the teaching?"I will take a birth control pill every day.""Methotrexate decreases my chances of developing an infection.""I take methotrexate every day with breakfast.""I will aim to drink five 8-ounce glasses of water per day."
"I will take a birth control pill every day."
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? A. "If the medicine causes an upset stomach, take an antacid at the same time."B. "Limit your daily fluid intake while taking this medication."C. "This medication can cause photophobia, so be sure to wear sunglasses outdoors."D. "You should report any tendon discomfort you experience while taking this medication."
"You should report any tendon discomfort you experience while taking this medication."
2. A nurse is assessing a client who has numerous bruises on his upper extremities. The client reports that he has taken warfarin (Coumadin) daily for the past 3 months. Which of the following statements by the client indicates the client needs further teaching?"I have started taking ginger root to treat my joint stiffness.""I take Tylenol whenever I have a headache.""I eat a green salad every night with dinner.""I had my INR checked three weeks ago
1.Ginger root can interfere with the blood clotting effect of warfarin and place the client at risk for bleeding. This statement indicates the client needs further teaching.
When talking to a patient who is about to begin glipizide (Glucotrol) therapy to treat type 2 diabetes mellitus, the health care professional should include which of the following instructions?...A) Avoid drinking alcohol.B) Sit or stand for 30 min after taking the drug.C) Urinate every 4 hr.D) Take the drug 2 hr after a meal.
A) Avoid drinking alcohol
A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?A) Grapefruit juiceB) MilkC) Foods high in vitamin KD) NSAIDs
A) Grapefruit juice
A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?A) HyperuricemiaB) HypernatremiaC) HyperkalemiaD) Hypoglycemia
A) Hyperuricemia
A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?A) HypokalemiaB) HypoglycemiaC) HypouricemiaD) Hyponatremia
A) Hypokalemia
A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus contacts the health care professional to report muscle pain. The health care professional should suspect which of the following adverse reactions?...A) Lactic acidosisB) Anticholinergic effectsC) Extrapyramidal symptomsD) Hypophosphatemia
A) Lactic acidosis
A health care professional is caring for a patient who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The health care professional should tell the patient to report which of the following adverse effects? (Select all that apply)....A) Sore throatB) Muscle painC) InsomniaD) BradycardiaE) Rash
A) Sore throat B) Muscle painD) BradycardiaE) Rash
A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?A) HeadacheB) ConstipationC) HypertensionD) Hyperglycemia
A) headache
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?A. Change positions slowlyB. Crush the medicationC. Take the medication on an empty stomachD. Report increased urinary output immediately
A. Change Positions Slowly
A health care professional is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following is an adverse effect of this drug?A. DizzinessB. RashC. Tardive dyskinesiaD. Abdomina cramping
A. Dizziness
A health care professional is about to administer ondansetron (Zofran) to a patient who is receiving chemotherapy. Which of the following actions should the health care professional take? (SATA)A. Infused the drug 30 min prior to chemotherapyB. Administer the drug when the patient reports nauseaC. Infuse the drug slowly over 15 minD. Administer the drug immediately following chemotherapyE. Repeat the dose 4 hr after chemotherapy
A. Infused the drug 30 min prior to chemotherapyC. Infuse the drug slowly over 15 minE. Repeat the dose 4 hr after chemotherapy
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?A. Prostate-specific antigen (PSA)B. BUNC. Creatine Phosphkinase (CPK)D. ALT
A. Prostate-specific antigen (PSA)
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which of the following reasons should the nurse instruct the client use the albuterol inhaler before using the fluticasone inhaler?Albuterol will increase the absorption of fluticasone.Albuterol will decrease inflammation.Albuterol will reduce nasal secretions.Fluticasone will reduce the adverse effects of albuterol.
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?Start at a low dose and gradually increase it.Take the drug as needed for nasal congestion.Allow at least 2 weeks for the full therapeutic effect.Use the drug prior to exercise.
Allow at least 2 weeks for the full therapeutic effect.
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?
Antiestrogenic
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (select all that apply)Avoid being near people who are sick with a communicable illness.Periodic laboratory tests are required.The drug's effects are immediate.Report bruising or petechiae.Avoid drinking alcohol.
Avoid being near people who are sick with a communicable illness. Periodic laboratory tests are required. Report bruising or petechiae. Avoid drinking alcohol.
A patient who is taking propylthiouracil (PTU) contacts the health care professional to report weight gain, drowsiness, and depression. The health care professional should suspect which of the following adverse reactions to the propylthiouracil?.....A) ThyrotoxicosisB) HypothyroidismC) Lactic acidosisD) Radiation sickness
B) Hypothyroidism
A patient who is taking glipizide (Glucotrol) to treat type 2 diabetes mellitus contacts the health care professional to report feeling shaky, hungry, and fatigued. The health care professional should tell the patient to do which of the following?...A) Drink 16 oz of water.B) Perform a fingerstick blood glucose check.C) Take another glipizide tablet.D) Lie down and rest.
B) Perform a fingerstick blood glucose check.
A nurse is providing teaching to the guardian of a school-aged child who has ADHD and a new prescription for clonidine. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will not allow my child to eat anything within 2 hours of taking the medication." B. "I can expect my child to be drowsy while taking this medication." C. "I will give my child a dose of the medication at noon every day." D. "I will cut the tablet in half before giving it to my child."
B. "I can expect my child to be drowsy while taking this medication.
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?A. A seizure disorder for which he takes carbamazepineB. Erectile dysfuntion for which he take sildenafilC. Diabetes mellitus for which he takes glyburideD. Angle-closure glaucoma for which he take pilocarpine
B. Erectile dysfuntion for which he take sildenafil
A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client ? A. Transdermal patch B. Sublingual C. Suspended-release D. Topical ointment
B. Sublingual
A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of the following conditions?A. Excessive bleedingB. EcchymosisC. InfectionD. Hyperglycemia
C. Infection
You are caring for a patient who is about to begin taking cephalexin (Keflex) to treat bacterial meningitis. You should explain to the patient the need to monitor which of the following laboratory tests?Prothrombin time Creatinine Aspartate aminotransferase Potassium
Creatinine
A health care professional should question the use of levothyroxine (Synthroid) for a patient who has __________......A) bacterial skin infectionsB) diabetes insipidusC) immunosuppressionD) a myocardial infarction
D) A myocardial infarction
Which of the following drugs should a health care professional have available for a patient who is experiencing an insulin overdose?....A) NaloxoneB) DiphenhydramineC) Acetylcysteine (Acetadote)D) Glucagon (GlucaGen)
D) Glucagon (GlucaGen)
A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?A) HyperglycemiaB) BradycardiaC) HypotensionD) Hypoglycemia
D) Hypoglycemia
A health care professional is talking to a patient about self-injecting Regular insulin (Humulin). The health care professional should tell the patient to rotate injection sites to prevent which of the following?.....A) Rapid absorptionB) Intradermal injectionC) Injection painD) Lipohypertrophy
D) Lipohypertrophy
A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? A. Discontinue the medication if a rash develops. B. Expect increased salivation during the first few weeks of therapy. C. Minimize fiber intake to prevent diarrhea. D. Avoid driving until the client's reaction to the medication is
D. Avoid driving until the client's reaction to the medication is
A nurse is caring for a client with a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following? Hypertension. ototoxcity muscle pain. hypotension
Hypotension
A nurse is preparing to administer oxytocin who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take ?
Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.
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?FeverBruisingPolyuriaPalpitations
Palpitations
A nurse is monitoring lab values for a male client who has leukemia and is recieving weekly chemotherapy with methotrexate via IV infusion. Which of the following lab values should the nurse report to the provider ?
Platelets 78,000/mm3
A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? Sodium 136mEq/L Potassium 2.3 mEq/L Chloride 99mEq/L Calcium 10 mg/dL
Potassium 2.3 mEq/L
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?Decrease viscosity of nasal secretionsBlock H2 receptorsPrevent histamine from binding to receptorsReduce nasal congestion
Prevent histamine from binding to receptors
A nurse is providing teaching to a client who has a new prescription for HCTZ 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?
Take they HCTZ in the morning
A nurse is assessing a client who receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?
Proteinuria
A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?
Raisins
A nurse is reviewing a lab value for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take?
Reduce the infusion rate
A nurse is taking care of a client who is receiving methotrexate. The nurse should monitor the client for which of the following adverse effects?Cardiac excitabilityRespiratory depressionHyperthermiaHypertension
Respiratory depression
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include? Take this med with food You might have to stop taking this med 5 days before surgeries Take this medication 3X daily Expect to have black colored stools while taking this med
You might have to stop taking this medication 5 days before any planned surgeries.
a nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?a client who had a mastectomy a client who had a knee arthroplasty a client who had a colectomy a client who had a cholecystectomy
a client who had a cholecystectomy
A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the actions of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?a. Clopidrogelb. Heparinc. Warfarind. Alteplase
a. Clopidogrel
A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include the which of the following is an adverse effect of this medication?a. Hot flashes b. Insomniac. Increased appetite d. Constipation
a. Hot flashes
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?a. Hypertensionb. Muscle painc. Edemad. Dry mouth
a. Hypertension
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should nurse identify as a possible indication of hemorrhage?a. Rapid Pulseb. Yellowing of the sclerac. Elevated blood pressured. Pale-colored stools
a. Rapid Pulse
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? a. Uncontrolled bleeding b. Myocardial infarction c. Respiratory depression. Decreased renal perfusion
a. Uncontrolled bleeding
a nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections?butorphanol acetaminophen tramadol aspirin
aspirin
a nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include?avoid driving or activities that require mental alertnessavoid crushing the tabletslimit fluid intake during therapylimit potassium while taking allipurinol
avoid driving or activities that require mental alertness
a client is teaching a client who has a new prescription for hydrochlorothiazide (HCTZ) for management of hypertension. which of the following instructions should the nurse include? A. take this medication before bedtime B. monitor for leg cramps C. avoid grapefruit juice D. reduce intake of potassium-rich foods
b. "monitor for leg cramps"
A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take?a. Shake the vial before using.b. Administer via IV bolus over 1 to 3 min.c. Dilute the drug first with D5W.d. Save the used vial for the next dose.
b. Administer via IV bolus over 1 to 3 min
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?a. Myocardial infarctionb. Peptic Ulcer Diseasec. Pancreatitisd. Myasthenia gravis
b. Peptic Ulcer Disease
a nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. which of the following medications should the nurse have available to reverse heparin's effect? Vitamin K Protamine sulfate Acetylcysteine (Mucomyst)Deferoxamine (Desferal)
b. protamine sulfate
A nurse is providing teaching to a client who has a new rx for omeprazole to treat the duodenal ulcer. Which of the following should the nurse include?a. take the drug w. foodb. swallow the capsule wholec. dissolve the tablets in waterd. take the drug at bedtime
b. swallow the capsule whole
A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods is the best source of potassium? bananas cooked carrots cheddar cheese 2% milk
bananas
A nurse is teaching a client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?Muscle tremorsDrowsinessExcitationInsomnia
drowsiness
a nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? eat a small meal before taking the drug suck on hard candy or chew gum take a stool softener daily avoid the use of NSAIDs
eat a small meal before taking the drug
a nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (select all that apply) fever tinnitus diaphoresis thrombophlebitis dizziness
fever, tinnitus, diaphoresis, dizziness
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?Take the drug as needed for acute asthma.Follow a low-sodium diet.Use an alternate-day dosing schedule.Increase weight-bearing activity.
increase weight bearing activity
a nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following drug reactions? (select all the apply) increased respiratory rate increased pain thrombophlebitis ventricular arrhythmias hypertension
increased respiratory rate, increased pain, ventricular arrhythmias , hypertension
a nurse is providing teaching to a newly licensed nurse about metaclopramide. the nuse should include the following conditions is contraindication to this medication?
intestinal obstruction
A nurse is providing teaching to a client who has type 2 DM and a new prescription for metformin. whICH OF THE FOLLOWING ADVERSE EFFECTS OF METFORMIN SHOULD THE NURSE INSTRUCT THE CLIENT TO WATCH FOR AND REPORT TO THE PROVIDER?
myalgia
a nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? A) Hemoglobin (Hgb) B) Prothrombin time (PT) C) Bleeding timeD) Activated partial thromboplastin time (aPTT)
prothrombin time (PT)
a nurse is prescribed trimethoprim-sulfamethoxazole for urinary tract infection. which of the following should the patient report to healthcare provider?
rash and hives
a nurse is teaching s client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (select all that apply )palpitations sore throat vertigo bruising vision changes
sore throat, vertigo, bruising, vision changes
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?"Crushing the medication might cause you to have a stomachache or indigestion.""Crushing the medication is a good idea, and I can mix it in some ice cream for you.""Crushing the medication would release all the medication at once, rather than over time.""Crushing is unsafe, as it destroys the ingredients in the medication."
"Crushing the medication would release all the medication at once, rather than over time." or "Crushing the medication might cause you to have a stomachache or indigestion."
a nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?"ibuprofen will increase your risk for developing salicylism""ibuprofen will reduce the cardioprotective effects of low-dose aspirin""low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen""low-dose aspirin will reduce the analgesic efforts of ibuprofen"
"ibuprofen will reduce the cardio protective effects of low-dose aspirin"
A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?A. "Avoid drinking grapefruit juice when taking this medication."B. "Expect to see a response from the medication within one week."C. "Decreased libido is an adverse effect of the medication."D. "PSA levels will increase while taking this medication."
C. "Decreased libido is an adverse effect of the medication.
A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take? Check the client for a penicillin allergy. -Monitor the client for constipation. -Store the medication at room temperature. -Avoid shaking the medication before administering.
Check the client for a penicillin allergy.
a nurse is reviewing lab values for a client who reports fatigue and cold intolerance. the client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications?
Levothyroxine
A nurse is caring for a pt who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication? A. Limit the client's fluid intake B. Instruct the client to report agitation C. Monitor the serum medication levels D. Administer the medicine with food
Monitor the serum medication levels
A nurse is caring for a client who has a prescription for HCTZ to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effect?
Muscle weakness , hypoactive reflexes hyperglycemia hypercalcemia
A nurse is planning to administer butorphanol to a client who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?
Naloxone
A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest painNitroglycerin decreased chest pain by dissolving blood clots that are occluding the arteriesYou can store this bottle of tablets in your medicine cabinetNitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart
Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart
A nurse is caring for a client who has a prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?
Second degree AV block
A patient who is taking ciprofloxacin (Cipro) to treat a respiratory tract infection contacts the healthcare professional to report dyspepsia. The healthcare professional should recommend which of the following insructions?Take an antacid at least 2 hours after taking the drugTake the drug with a cup of coffeeTake an iron supplement with the drugDrink 8oz of milk with the drug
Take an antacid at least 2 hours after taking the drug
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client developed a tolerance to the medication The nurse should document that the client has developed a tolerance to the medication. Morphine is a narcotic analgesic used for the treatment of severe pain. Tolerance is an adverse effect of narcotic analgesics in which a larger dose is needed to produce the same response.
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? First generation cephalosporinsThird generation cephalosporinsMonobactamsMacrolides
Third generation cephalosporins
A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication?HypertensionThrombocytopeniaGlaucomaEdema
Thrombocytopenia
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute levothyroxine overdose?
Tremor
A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?1. "Take this medication until your symptoms are gone and then discontinue"2. "Tremors, nervousness, and insomnia may indicate your dose is too high"3. "Symptoms improve immediately after starting the medication"4. "The medication decreases the overproduction of the thyroid hormone thyroxine" 2
Tremors, nervousness, and insomnia may indicate your dose is too high" - hyperthyroidism
A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary?
c. An excess amount of doxorubicin can lead to cardiomyopathy
A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?a. "Use each syringe up to two times."b. "Massage the injection site after removing the needle."c. "Store the current bottle of insulin at room temperature."d. "Pull back on the plunger after injecting the insulin."
c. "Store the current bottle of insulin at room temperature."
Trimethoprim-sulfamethoxazole (Bactrim) is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy? sore throat muscle pain Jaundice DIC
sore throat.
a nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (select all the apply)diarrhea urinary retention respiratory depression sedation orthostatic hypotension
urinary retention, respiratory depression, sedation, orthostatic hypotension
a nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (select all that apply)bronchospasm vomiting peripheral edema abdominal cramps hypertension
vomiting, abdominal cramps, hypertension
a nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drug reacts with allopurinol?Warfarin Ibuprofen Insulin Furosemide
warfarin
a nurse is caring for a client who has a prescription for aspirin to treat an ankle pain. The nurse should instruct the client to report which of the following adverse drug reactions? polyuria bone pain weight gain infection
weight gain
he nurse is planning an education program on SILDENAFIL to a group of older male clinets. Which of the following information should the nurse include in the education program?1. Swallow the medication with grapefruit juice to improve the action 2. Ingestion of the medication with nitrates causes hypotension 3. Take the medication 2 hr prior to sexual activity. 4. Consume a high-fat meal to increase the medication absorption
2. Ingestion of the medication with nitrates causes hypotension
patient who is taking warfarin (Coumadin) and is about to begin taking trimethoprim/sulfamethoxazole (Bactrim) to treat a UTI. You should question the drug regimen because taking these two drugs concurrently can increase the patient's risk for which of the following?BleedingThrombosisECG ChangesOtotoxicity
Bleeding
A nurse is caring for a client who has glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug?A) The drug can cause hypoglycemia in clients who have a low urine output.B) The drug does not reduce blood pressure for clients who have a low urine output.C) The drug can increase the risk of pulmonary edema for clients who have renal insufficiency.D) The drug does not promote diuresis for clients who have renal insufficiency.
D) The drug does not promote diuresis for clients who have renal insufficiency.
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?Use a spacer to improve inhalation.Take the drug at the onset of bronchospasm.Rinse mouth to prevent an oral fungal infection.Take the drug once a day in the evening.
Take the drug once dailiy in the evening.
A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching?a. "Take the medication with a meal."b. "You may crush or chew the medication."c. "This medication may cause an increase in perspiration."d. "This medication may turn your urine orange."
Take the medication with a meal.
You are caring for a patient who is taking ciprofloxacin (Cipro), a fluoroquinolone, to treat a UTI and has rheumatoid arthritis, for which he takes prednisolone (Prelone) a glucocorticoid. Recognizing the adverse effects of ciprofloxacin, the healthcare professional should tell the patient to report which of the following?TachycardiaHair lossInsomniaTendon pain
Tendon pain
A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is to reduce blood levels of which of the following substances? A.Uric Acid B.Chloride C. Potassium
Uric acid - Hyperuricemia is the underlying cause of gout. Clients who have chronic gout develop tophi. The purpose of allopurinol is to reduce the synthesis of uric acid.
