Pharm II Final
The administration of diphenhydramine is regulated by which US government agency
FDA
A client presents at the client with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determines that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will order?
Guaifenesin
A nurse is caring for a 59-year-old client who has been prescribed nitro to control angina. Which adverse effect might the nurse observe in this client.
Hypotension
A client is instructed to take diphenhydramine after an allergic reaction. Which statement by the client indicates successful teaching concerning the safe and effective use of diphenhydramine
I should not drive my care after taking this medication
The nurse is preparing a client for discharge who will receive a prescription for a HMG-CoA inhibitor. What statement by the client demonstrates a clear understanding of the teaching provided by the nurse?
I should plan to take this drug before bedtime, because my body makes lipids mostly at night
What statement by the client indicates that the client understand the nurses teaching about diuretics?
I will weigh myself daily and report significant changes
What class of antiarrhythmics block potassium channels, prolonging phase 3 of the action potential and slowing the rate and conduction of the heart?
III
A client is prescribed sublingual nitro for treatment of angina. The nurse instructs the client to do what if chest pain occurs?
If the chest pain doesn't go away after 3 tablets are given 5 minutes apart, call 911
A nurse would instinct a client to take an oral glucocorticoid at which time?
In the morning
The nurse is providing education to a client diagnosed with the common cold. What measure should the nurse recommend implementing to help liquefy cold=related secretions?
Increasing fluid intake
A client is being evaluated for reports of alteration in sleep pattern. When asking a client about current medications and supplements being taken, what is the nurse's best approach?
Inquire about all prescription medications, over the counter drugs, herbs and supplements.
A nurse is preparing to administer a prescribed antibiotic and is aware that the medication is selectively toxic. What does the nurse understand about this medication?
It is able to kill foreign cells without causing significant harm to the client's own body cells
An 82-year-old client, who lives alone has occasional memory lapses, is being seen by the home health nurse. In reviewing the client's medication, the nurse discovers that the client was recently prescribed azithromycin for urethritis. What characteristics of this drug makes it an appropriate choice for this client?
It is taken only once a day
A client is being discharged home with a prescription for sublingual nitro. The nurse will instruct the client and family to do which
Keep the tablets in the original dark bottle
A client who is taking digoxin would withhold the drug if his pulse rate was
Less than 60bpm
When proving client teaching to a client beginning therapy with a HMG-CoA inhibitor, the nurse will explain the need for regular monitoring of what laboratory studies? -liver function tests -Albumin level -hemoccult of stool -lipid panel -renal function tests
Liver function tests Lipid panel Renal function tests
The nurse is caring for a client with an arrhythmia. What is the priority goal for this client?
Maintain cardiac output
A client, diagnosed with erectile dysfunction, is taking nitro for chest pain. What is the bets explanation for why a nitrate-like slidenafil would be contraindicated?
Nitro and sildenafil cause a severe decrease in blood pressure
What glucocorticoid is limited to oral administration?
Prednisone
A patient is being discharged after being treated with nitro for angina. Which instructions should the nurse include in the teaching plan for the patient?
Recap the container tightly after taking the capsules
The nurse is caring for a client who is receiving acetylcysteine by face mask. What would be an appropriate nursing diagnosis?
Risk for impaired skin integrity
When developing a plan of care for the client receiving a glucocorticoid, what nursing diagnosis should be of highest priority?
Risk for infection related to immunosuppression
The nurse understands that which is the highest priority when teaching about anti tubercular medications?
Taking medications as prescribed
A male patient who uses sublingual nitro tells the nurse that when he puts it under his tongue, he feels a fizzing sensation. Which response by the nurses would be most appropriate?
That means that the drug is still potent and working
After teaching a group of students about inhaled steroids, the instructor determines that the teaching was successful when the students state
The drugs are not for use during an acute attack
A client is prescribed an antitussive agent with codeine. Which statement by the client indicates that the nurse's teaching has been effective?
This medication will cause drowsiness, and i will not drive
A 52-year-old man has been treated for severe asthma for several years with prednisone. Recently, his health care provider has initiated alternate-day therapy for him. The client tells the nurse that he would rather take the medication every day to prevent confusion. Which would be the best response by the nurse? -"this schedule will be more convenient for you" -"this schedule will enable you to Lise weight" -"this schedule will decrease the cost of your medication" -"this schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue"
This schedule allows rest periods so that adverse effects are decreased but the anti-inflammatory effects continue
The nurse is preparing to administer sublingual nitro to a client for the first time. What effect might the client experience right after administration?
Throbbing headache or dizziness
After teaching a group of nursing students about the action of penicillins, the instructor determines that the teaching was effective when the students identify natural penicillins as exerting which type of effect on microorganisms?
bactericidal
A nurse is teaching a client about a prescribed thyroid supplement and describes a drug that is relatively inexpensive, requires once-a-day dosing, and has a more uniform potency than do other thyroid hormone replacement drugs. Which drug is the nurse describing?
levothyroxine
A client with a gram-negative infection is being treated with an aminoglycoside. What assessment should the nurse prioritize during treatment?
urine output and BUN and creatinine levels
The nurse is providing dietary teaching to the client on long-term mineralocorticoid therapy. What should the nurse teach the client?
"Eat plenty of bananas, avocados, and other foods that are high in potassium."
A client has been diagnosed with a sinus infection, and the client has been given a prescription for amoxicillin. What teaching point should the nurse make for the client?
"Take your medication every 8 hours, as it's been prescribed"
The nurse instructs the client that he can repeat the dose of nitro every 5 minutes up to a maximum total of how many doses
3
A client weighs 110lb. What is this weight in kilograms?
50kg
Extreme caution would be necessary with the use of gentamicin in which client? -a client who is morbidly obese and who has primary hypertension -a client who has chronic renal failure secondary to diabetes mellitus -a client who has bipolar disorder and who is on long-term lithium therapy -a client who has an atrioventricular block
A client who has chronic renal failure secondary to diabetes mellitus
A client is admitted after overdose with acetaminophen. What medication would the nurse expect to be administered?
Acetylcysteine
A primary health care provider has prescribed levothyroxine to a client with hypothyroidism. Which information would the nurse include in the teaching plan to promote an optimal response to the drug therapy?
Administer the drug early in the morning before breakfast.
What conditions would be indications for a prescription of first-generation antihistamine? SATA -allergic rhinitis -emphysema -motion sickness -dermatitis -pneumonia
Allergic rhinitis Motion sickness Dermatitis
Ms. Hall is started on quinidine therapy. What type of arrhythmia would the nurse be using quinidine to treat?
Atrial arrhythmia
A client recently began taking theophylline for treatment of asthma. Which changes in the client's lifestyle would suggest that the client understands proper use of the drug and management of the disease?
Avoiding caffeine
What of the following would a nurse identify as being classified as a macrolide?
Azithromycin
A client is in the clinic to have blood drawn to assess theophylline levels. The client appears to be responding well to the medication and is not experiencing any adverse effects. What serum level will the nurse expect the client to have?
Between 10-20 mcg/mL
A client is to receive a narcotic cough syrup. The nurse would expect this preparation to contain
Codeine
A nurse is required to administer an anti-infective drug to a patient. The nurse knows that which of the following tests needs to be conducted before administering the first dose of an anti-infective drug to the patient?
Culture tests
A client asks the nurse what the atorvastatin prescribed for the client will do. What is an expected outcome for this client?
Decrease in serum cholesterol and LDL levels
Glucocorticoids should be used with caution in patients with what disease process?
Diabetes mellitus
What is given to treat a massive digoxin overdose?
Digoxin immuneFab
A client has been prescribed ciprofloxacin IV for the treatment of cellulitis. After initiating the infusion of the client's first scheduled dose, the client develops a pronounced rash on the chest and arms. How should the nurse respond initially to this event?
Discontinue the infusion and inform the health care provider promptly
Mineralocorticoids directly affect
Electrolyte levels
