pharm hesi

A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? 1, Administer the medication to the client before breakfast in the morning. 2, Ambulate the client to a chair prior to administering the medication. 3. Give the medication to the client with water rather than milk.4. Teach the client how to take the medication at home.

2, Ambulate the client to a chair prior to administering the medication

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? 1, ecchymosis 2, decrease urine output. 3, increase blood pressure. 4, dizziness

4, dizziness

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?1. Ibuprofen2. Naproxen 3. Aspirin4. Acetaminophen

4. Acetaminophen

A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make?1. "Stop taking the isoniazid for 3 days and the discoloration should go away." 2. "Rifampin can turn body fluids orange."3. "I'll make an appointment for you to see the provider this afternoon." 4. Isoniazid can cause bladder irritation."

"Rifampin can turn body fluids orange.

A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects?1. Hyperkalemia2. Hypertension 3. Constipation4. Nephrotoxicity

. Nephrotoxicity

A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching?1. Respiratory depression can occur 7 min after the morphine is administered. 2. The morphine will peak in 10 min. 3. Withhold the morphine if the client has a respiratory rate less than 16/min. 4. Administer the morphine over 2 min.

. Respiratory depression can occur 7 min after the morphine is administered.

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? 1, Amantadine. 2, Bupropion 3, Phenelzine 4, Hydroxyzine

1, Amantadine.

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching?1. "I will give my child a dose as soon as wheezing starts." 2. My child should rinse out his mouth after using the inhaler."3. "My child should exhale completely before placing the inhaler in his mouth." 4. "If my child has difficulty breathing in the dose, a spacer can be used."

1. "I will give my child a dose as soon as wheezing starts."

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?1. Jaundice2. Constipation 3. Oral candidiasis 4. Sedation

1. Jaundice

A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply)1. PTT 2. Asparate aminotransferase (AST) 3. Alanine aminotransferase (ALT)

1. PTT 2. Asparate aminotransferase (AST) 3. Alanine aminotransferase (ALT)

a nurse is providing teaching to a client who has rhematoid arthritis and a prescription for long term prednisone therapy. the nurse should instruct the client to monitor for which of the following adverse effects?1. Stress fractures 2. Orthostatic hypotension 3. Gingival ulcerations4. Weight loss

1. Stress fractures

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? 21. Raynaud's phenomenon 2. Migraine headaches 3. Ulcerative colitis4. Anemia

2. Migraine headaches

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication?1. Erythrocyte count2. Neutrophil count3. Lymphocyte count4. Thrombocyte count

2. Neutrophil count

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?1. Insomnia2. Hypotension 3. Bleeding4. Constipation

3. Bleeding

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?1. Hearing examination 2. Glucose tolerance test 3. Electrocardiogram4. Pulmonary function tests

3. Electrocardiogram

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?1. Nausea2. Metallic taste3. Fever4. Drowsiness

3. Fever

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?1. Ecchymosis2. Jaundice 3. Hypotension 4. Hypokalemia

3. Hypotension

A nurse is reviewing laboratory 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?1. Methimazole2. Somatropin3. Levothyroxine4. Propylthiouracil

3. Levothyroxine

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?1. "Take hydrochlorothiazide as needed for edema." 2. Check your weight once each week."3. "Take the hydrochlorothiazide on an empty stomach." 4. "Take the hydrochlorothiazide in the morning."

4. "Take the hydrochlorothiazide in the morning."

A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?1. Platelet count2. Electrolyte levels3. Thyroid function4. Liver function

Liver function

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? 1. Thrombophlebitis 2. Hyperactive reflexes 3. Muscle weakness 4. Hypoglycemia

Muscle weakness

A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? 1. Oxytocin2. Nifedipine3. Dinoprostone4. Misoprostol

Nifedipine

A nurse is providing teaching to a client who has chronic kidney failure which an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?1. Reduces blood pressure 2. Inhibits clotting of fistula3. Promotes RBC production4. Stimulates growth of neutrophils

Promotes RBC production

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?1. Hypotension 2. Hyperthermia 3. Hypoglycemia 4. Tachycardia

Tachycardia