Pharm Final Exam

The nurse is completing a teaching session with a client with heart failure. The nurse determines that additional teaching is needed about the cardiotonic drug therapy when the client states which comment?

"I should call if my pulse rate is below 80 beats per minute."

The nurse is teaching a client about the prescribed inhaled corticosteroid and bronchodilator therapy. Which instruction will the nurse emphasize to this client?

"Take the corticosteroid several minutes after the bronchodilator dose."

A home health care nurse is assessing a client's medication during a home visit. The client is prescribed atorvastatin 10 mg daily, a change from the previous order of 20 mg daily. The client shows the nurse the medication container from the pharmacy. The label reads atorvastatin 20 mg. The nurse determines that the client is taking the correct dosage when the client states he is taking how much of the drug?

1/2 tablet every day

A nurse is analyzing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as prehypertensive?

128/86 mm Hg

A client receives the prescribed daily digoxin at 9 a.m. The nurse would expect to obtain a serum drug level at which time?

4 p.m. today

A nurse is preparing to administer IV digoxin to a client. The nurse prepares to administer the drug over which time frame?

5 minutes

A client is prescribed clonidine as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the patch should remain in place for how long?

7 days

The nurse is completing a preadministration assessment on a client with tuberculosis who is to start pyrazinamide. The nurse should question giving this drug after discovering which factor in the client's medical record?

Acute gout

The client is reporting GI disturbances after receiving the first dose of carbidopa/levodopa for Parkinson disease. Which action should the nurse prioritize for this client?

Administer the next drug dose with meals.

A nurse is preparing to administer gonadotropin to a client. The nurse would question this order if which disorder is documented in the client's medical history?

Adrenal dysfunction

The nurse is preparing to administer pramipexole to a client with Parkinson disease. The nurse notes the client is also prescribed verapamil. Which potential reaction should the nurse prioritize for careful monitoring?

Agonist effectiveness

A nurse is assessing the medical record of a client with arthritis who is to receive Celecoxib. The nurse would question this order based on which finding in the client's history?

Allergy to sulfonamides

A nurse is conducting a seminar on thrombosis. The nurse should point out that arterial thrombus can occur related to which situation?

Arrhythmias

A nurse is preparing to administer the first dose of warfarin to a client. Which assessment should the nurse prioritize for this client?

Assess PT and INR.

The nurse is caring for a male client in the emergency department who is experiencing a sudden onset of angina, rated as 8/10 on pain scale with blood pressure 88/50 mm Hg. Which is the priority action?

Assess if the client has taken sildenafil.

The nurse is conducting the ongoing assessment of a client with heart failure who was administered digoxin. Which additional medication does the nurse anticipate the health care provider to prescribed after reporting a heart rate of 48 bpm, muscle weakness, anorexia, and reports of generalized headache?

Atropine

The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out?

Blurred vision

The nurse is preparing to administer colchicine to a client who is in the initial phase of gout. Which disorder will the nurse be prepared to monitor the client for?

Bone marrow depression

A nurse is preparing to administer liothyronine to a client with chronic thyroiditis. The nurse determines the drug needs to be administered cautiously after noting which disorder in the client's medical history?

Cardiac disease

After teaching a group of nursing students on the mechanism of action of angiotensin-converting enzyme inhibitor (ACEI) drugs, the instructor determines the session is successful after the students correctly choose which action as the result of aldosterone?

Causes sodium and water retention

A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin?

Decreased diuretic effectiveness

A nurse has administered an opioid drug to a client. Which action would be most appropriate for the nurse to do immediately after administering the drug?

Document administration of the drug

A nurse is preparing to administer diphenhydramine to a client with bronchial irritation. Which activity should the nurse prioritize during the preadministration assessment?

Document color and amount of any sputum present. Feedback

A health care provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

Glucose tolerance

The nurse is teaching a client about dietary concerns related to the administration of warfarin. The nurse determines the teaching session is successful when the client correctly points out that a consistent intake of which foods is necessary when using warfarin?

Green leafy vegetables

The nurse is preparing to administer protamine emergently to a client per instructions from the health care provider. The nurse concludes this is necessary due to an adverse reaction to which drug?

Heparin

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the client's history?

Hyperkalemia

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment finding?

Increased appetite

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize?

Increased hypoglycemic effect

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction?

Increased risk for toxicity

A nurse notes a client has a new prescription for fluconazole who has also been administered losartan for several months. The nurse determines the client should be monitored for which result of this combination?

Increased risk of adverse effects of losartan

A client with hyperthyroidism, who is prescribed methimazole, reports a skin rash to the nurse. Which instruction should the nurse prioritize when assessing the client?

Instruct the client to use soap sparingly.

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client?

Iodine-131

A health care provider has prescribed a medication for a client is diagnosed with euthyroid goiter. The nurse would expect to administer which drug?

Levothyroxine

The health care provider has prescribed spironolactone for a client. The nurse is prepared to carefully monitor the client's potassium level if the client is also administered which drug?

Lisinopril

A nursing instructor determines a class on drug development is successful when the students correctly choose which test group as involved in the initial process?

Live animals

A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the client's history?

Liver disease

A nurse has administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the client's record for potential sources, which prescribed medications should the nurse question?

Methyldopa

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client?

Nasal congestion

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

Obesity

A health care provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment?

Observe the client for blanching of the skin, abdominal cramps, and nausea.

A nursing instructor is conducting a session exploring leukotriene modifiers. The instructor determines the session is successful when the students correctly choose which route of administration?

Orally

A client has been admitted to a health care center with reports of dyspnea. The nurse suspects left-sided heart failure based on which assessment finding?

Orthopnea

A client with intermittent claudication is prescribed cilostazol by the primary health care provider. The nurse will administer this drug cautiously if the client's history reveals which disorder?

Pancytopenia

The nurse is scheduled to administer the following medications at 0900: heparin subcutaneous, cefazolin IVPB, and atenolol po. The morning labs are platelets 150,000 mcL, WBC 10,000 mcL, APTT 100 seconds. Which is the nurse's priority in this situation?

Place the client in supine position with legs elevated for BP 88/50.

A nurse caring for a client is articulating the steps for carrying out nursing activities that will assist in achieving client goals. The nurse is in which phase of the nursing process?

Planning

The nurse is preparing to administer medications to some clients. The nurse should question orders for anthelmintics for which clients?

Pregnant

The health care provider has prescribed fenofibrate for a client discovered to have very high serum triglyceride levels. The nurse should question this order if the client has a history of which additional disorder?

Primary biliary cirrhosis

The nurse is caring for a client in the emergency department who is experiencing status epilepticus. The client's electronic medical record reveals a recent diagnosis of tonic clonic seizures and prescription for phenytoin. Which is the priority action?

Provide lorazepam IVP.

A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize?

Rebound hypertension

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client?

Refilling the water container at frequent intervals

A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment?

Response of pupils to light.

A nurse is caring for a client undergoing the second phase of standard TB treatment. The nurse expects to administer which combinations of drugs to the client?

Rifampin and isoniazid

The nurse is assessing a client with renal disease and discovers the client's blood pressure has increased since the last visit. The nurse suspects the client has developed which concern?

Secondary hypertension

A client currently prescribed a MAOI for depression is also prescribed a decongestant for cold symptoms. Which potential adverse reaction should the nurse point out will warrant contacting the health care provider?

Severe headache

A client, receiving linezolid, is fond of eating chocolates and drinking coffee. When teaching the client about this drug which adverse effect should the nurse point out presents the greatest risk to this client?

Severe hypertension

After administering sulfonamides to a client, the nurse observes the client has developed a fever, cough, and muscular aches, as well as lesions in the form of red wheals on the neck and the mouth. The nurse interprets these findings as indicating which possible adverse reaction?

Stevens--Johnson syndrome (SJS)

A health care provider prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on which assessment finding?

Tachycardia

The nurse is teaching the client about the lovastatin which has been prescribed for hypercholesterolemia. The nurse determines the teaching is successful when the client correctly chooses to take the medication in which manner?

Taking the drug with the evening meal

A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer this drug at which time?

Three times a day with the first bite of a meal

A 60-year-old client with rheumatoid arthritis reveals to the nurse the recent use of an OTC NSAID. The nurse should point out the client is at an increased risk for developing which disorder related to the use of NSAIDs?

Ulcer disease

A client is being discharged after being treated with nitroglycerin for an acute anginal attack. The nurse should include which instruction when providing the client with discharge instructions concerning how to properly administer nitroglycerin ointment at home?

Use an applicator for applying the ointment.

A client is to be discharged with a prescription for both zanamivir and a bronchodilator. Which instruction would the nurse include in the teaching plan for the client?

Use the bronchodilator before taking zanamivir.

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising?

Withhold the next dose of the drug.

A client presents to the emergency department with an apparent reaction to recently started thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

Altered mental status

A nurse is preparing to administer ivabradine to a client with heart failure. Which preadministration assessment should the nurse prioritize on this client?

Check for jugular vein distention.

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record?

Diabetic ketoacidosis

A primary health care provider has prescribed a loop diuretic for hypertension in a client with diabetes mellitus. Which assessment should the nurse prioritize?

Increased blood glucose levels

The nurse notes a client has a new prescription for an expectorate. The nurse will monitor this client cautiously if which disorder is noted in the client's history?

Persistent cough

A nurse is administering lorazepam to a client with status epilepticus. The nurse will be prepared to administer which additional drug to treat the status epilepticus?

Phenytoin

A nurse is conducting a community presentation on heart disease, cholesterol, and risk factors. The nurse determines that the class has been successful when the class correctly chooses which point as true?

Physical activity raises HDL cholesterol levels.

A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug, which assessment finding should the nurse prioritize?

Skin rash