PHARM Practice 5

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following meds should the nurse prepare to instruct the client? a. radioactive iodine b. levothyroxine c. sumatriptan d. levofloxacin

b. levothyroxine

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make? a. taking the med bt meals will help you avoid becoming constipated b. taking the med w/ food increases the risk of esophagitis c. taking the med bt meal will help you absorb the med more efficiently d. the med can cause nausea if taken w/ food

c. taking the med bt meal will help you absorb the med more efficiently

Nurse preparing a med & observes the date of expiration on vial occurred 2 months ago. Which action should the nurse perform? a. give the med b. discard the med c. notify the provider d. return the med to the pharmacy

d. return the med to the pharmacy

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the med. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? Hyperglycemia Adrenocortical insufficiency Severe dehydration Rebound pulmonary congestion

Adrenocortical insufficiency

A nurse is preparing to administer imipramine 200 mg PO daily divide equally every 12 hr. The amount available is imipramine 25 mg tablets. How many tablets should the nurse administer with each dose?

4 tablets

A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicates the need for further teaching? A. "I might need to decrease my regular insulin during this time." B. "I will gradually stop the prednisone when my rash goes away." C. "I might feel a little emotional when I am on this medicine." D. "I might have a hard time falling asleep while taking prednisone."

B. "I will gradually stop the prednisone when my rash goes away."

Nurse caring for a client who is receiving liothyronine (Cytomel) for treatment of hypothyroidism. Which of the following should the nurse recognize as therapeutic response? A. Loss of appetite B. Increase in daily weight C. Improvement of energy D. Decrease in body temperature

C. Improvement of energy

Client has developed agranulocytosis as result of taking propylthiouracil (PTU) to treat hyperthyroidism. When preparing to reinforce teaching with the client, the nurse should base her instructions on the fact that the client is at serious risk for which of the following? A. excessive bleeding B. Ecchymosis C. Infection D. Hyperglycemia

C. Infection

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? a. insomnia b. constipation c. drowsiness d. hypoactive deep-tendon reflexes

a. insomnia

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? a. keep the open vial of insulin at room temperature b. inject the insulin into a large muscle c. aspirate the med prior to admin d. admin the insulin in two separate injections

a. keep the open vial of insulin at room temperature

A nurse i caring for a client who is at 6 weeks of gestation and has pneumonia. While the nurse is obtaining the client's history, the client tells the nurse that she take the herb feverfew for migraine headaches. Which of the following actions should the nurse take? a. tell the client that she should take an orc analgesic instead b. explain to the client that she should not take this herb while she is pregnant c. ask the client why she would take an herb during pregnancy d. suggest that the client ask her herbalist within the next few weeks about taking it while pregnant

b. explain to the client that she should not take this herb while she is pregnant

A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching? a. i will expect the color of my urine to be amber b. i should expect dark, tarry stools c. i should expect increased bruising d. i will not get as many infections

b. i should expect dark, tarry stools

A nurse is providing teaching to a client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions will the nurse include in the teaching? (select all that apply) a. expect urine to be darkened b. monitor weight daily c. increase calcium intake d. use oral contraceptives to avoid pregnancy e. take tablets whole

b. monitor weight daily c. increase calcium intake

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? a. alleviate helicobacter pylori b. relief of GI pain c. prevention of opportunistic infections d. improvement of impaired vision

b. relief of GI pain

A nurse is providing teaching for a client who is newly diagnosed with type 2 DM and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? a. absorbs the excess carbs in your system b. stimulates the pancreas to release insulin c. replaces insulin that is not being produced by your pancreas d. prevents your liver from destroying your insulin

b. stimulates the pancreas to release insulin

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? a. take the med on an empty stomach to decrease gastrointestinal irritation b. take the med with orange juice to enhance absorption c. take the med with milk d. rinse the mouth before taking the iron

b. take the med with orange juice to enhance absorption

A nurse is admitting a client who states he takes ginkgo blob everyday to improve his memory. The nurse should identify a potential interaction with which of the following meds the client is taking? a. Ranitidine b. Levothyroxine c. Warfarin d. Loratadine

c. Warfarin

A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this med? a. grapefruit juice b. milk c. alcohol d. coffee

c. alcohol

A nurse is teaching a client who has DM and receives 25 units of NPH insulin every morning if her blood glucose is above 200 mg/dL. Which of the following information should the nurse include? a. discard the nth solution if it appears cloudy b. shake the insulin vigorously before loading the syringe c. expect the nth insulin to peak in 6 to 14 hr d. freeze unopened insulin vials

c. expect the nth insulin to peak in 6 to 14 hr

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 DM. The nurse should recognize which of the following meds can cause glucose intolerance? a. ranitidine b. guaifenesin c. prednisone d. atorvastatin

c. prednisone

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect? a. hepatits b. peptic ulcer fracture c. renal stones d. pancreatitis

c. renal stones

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? a. saw palmetto b. cranberry c. soy d. garlic

c. soy

A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching? a. take the ferrous sulfate at bedtime b. take the ferrous sulfate with an antacid c. take the ferrous sulfate bt meals d. take the ferrous sulfate with yogurt

c. take the ferrous sulfate bt meals

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? a. 14 units b. 28 units c. 32 units d. 42 units

d. 42 units

A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of the following actions should the nurse take? a. Tell the client the physician wants him to take the medications b. Ask the client why he is refusing to take the medications c. Explain the purpose for the medications d. Document that the client refuses the medications

d. Document that the client refuses the medications

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? a. decrease in level of thyroxine (T4) b. increase in weight c. increase in hr of sleep per night d. decrease in level of thyroid stimulating hormone (TSH)

d. decrease in level of thyroid stimulating hormone (TSH)

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? a. draw up the nth insulin into the syringe first b. inject air into the regular insulin first c. shake the nth insulin until it is well mixed d. discard regular insulin that appears cloudy

d. discard regular insulin that appears cloudy

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin? a. duration of 3 - 6 hr b. duration 6-10 hr c. duration 16-24 hr d. duration 18-24 hr

d. duration 18-24 hr

A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following instructions should the nurse include? a. discard the med if it is cloudy b. briskly shake the med before filling the syringe c. take this med 15 min before meals d. eat a snack 8 hours after taking this med

d. eat a snack 8 hours after taking this med

A nurse is caring for a client who has diabetes and plans to administer his regular insulin before he eats his breakfast. Breakfast is served at 0800. After checking the clients morning glucose level, which of the following actions will the nurse take? a. give the insulin at 0700 b. give the insulin when the breakfast tray arrives c. give the insulin 30 min after breakfast w/ the client's other routine meds d. give the insulin at 0730

d. give the insulin at 0730

A nurse is evaluating teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following statements by the client indicates a need for further teaching? a. i will change the needle every 3 days b. is should store all unused insulin in the refrigerator c. if i skip lunch, i will skip my mealtime dose of insulin d. i will use insulin glargine in my insulin pump

d. i will use insulin glargine in my insulin pump

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow?

inspect vials for contaminants, roll nah vial between palms of hands, inject air into NPH insulin vial, inject air into regular insulin vial, withdraw short-acting insulin into syringe, add intermediate insulin to syringe