Pharm practice B
A nurse is preparing to administer phenobarbital 3mg/kg PO twice a day to a school-age child who weighs 44 lbs. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose?
15 mL
A nurse is preparing to administer cafazolin 1 g in 100 mL 0.9% sodium chloride to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
50 gtt/min
A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understating of the teaching?
I will look up when putting the medication into my eyes
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching?
I will rinse my mouth after I use this inhaler
A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?
abdominal pain
A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer?
acyclovir
A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first?
albuterol
A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opiod analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia?
ask the client to rate her pain level
A nurse is reviewing a clients medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication?
benign prostatic hyperplasia
A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sunatripitan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?
chest tightness
A nurse is collecting data from a client who has bacterial pneumonia and is taking cetriaxone. Which of the following findings indicates a Therapeutic effect of the medication?
clear bilateral breath sounds
A nurse is collecting data from a client who is taking oral amoxicillin to treat respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?
diarrhea
A nurse is performing the third check before administering hydropmorphone to a client after opening the unit dose packet. the client tells the nurse he does not want to take the medication now. Which of the following actions should the nurse take?
dispose of the medication with a second nurse as witness
A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take when documenting the medication error?
document the notification of the clients provider
A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication?
drowsiness
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
dry cough
A nurse is reviewing the medical administration record of a client who has a history of Steven's-johnsons syndrome when taking sulfamethoxazole- trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client?
furosemide
A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?
furosemide
A nurse is collecting data from a client who has angina and has a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication?
headache (common side effect because it causes vasodilation)
A nurse is assisting with the admission of a client who reports muscle aches and pains associated with construction work. The provider suggests taking acetaminophen. The nurse should notify the provider about which of the following information obtained from the client?
history of hepatitis B
A nurse is assisting with the care of a client who is preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings indicates magnesium toxicity?
hyporeflexia (magnesium sulfate depresses neuromuscular activity)
A nurse is evaluating a client who is receiving amphotercicn B via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication?
hypotension
A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements?
im allergic to neomycin
A nurse is caring for a client who has a 10 year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority?
implement seizure precautions (grand mal seizures occur during alcohol withdrawal)
A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine weather the treatment is effective?
improved social interactions
A nurse is reinforcing teaching with a a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching?
increase fluid intake
A nurse is caring for a client who has kidney failure and has been taking epoetin alfa. Which of the following is a therapeutic effect of this medication?
increased Hgb
A nurse is reinforcing teaching with with a client who has a new prescription for vitamin b 12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?
massage your nose gently after medication administration
A nurse in a providers office is reviewing the immunization records of a 12 month old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client?
measles, mumps, rubella. (MMR)
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. Thew nurse should instruct the client to monitor for which of the following manifestations as an adverse effects of this medication?
muscle pain, fatigue, metallic taste
A nurse is collecting data from a client who us taking tobramycin. Which of the following findings should the nurse report to the provider immediately?
oliguria (greatest risk of nephrotoxicity)
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?
peripheral edema
A nurse is monitoring a client who just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider?
resp rate 11/min
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider?
respiratory depression
A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider?
slurred speech
A nurse is collecting data from a client who has hyperthyroidism and a new prescription for prophlthaiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of thus medication?
sore throat
A nurse is reinforcing teaching with a client who has type 1 diabetes and is larding to self administer NPH insulin. Which of the following client actions indicates understanding of the teaching?
the client wipes the cap with alcohol prior to filling the syringe
A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity?
vomitting
A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider?
apical pulse 52 min
A nurse is reviewing the medical record of a client who has a new prescription fir dimenhydrinate to treat motion sickness. Which of the following disorders in the clients medical record should the nurse report to the provider?
benign prostatic hyperplasia
A nurse is reinforcing discharge teaching with a client who has a prescription for as metered- dose inhaler (MDI). Which of the following information should the nurse include in the teaching?
take a slow deep breath lasting 3 to 5 seconds after releasing the medication
A nurse is collecting data from a client who recently began taking niacin to treat hyperlipidemia. The client reports experiencing facial flushing after taking the medication. The nurse should expect the provider to make which of the following recommendations?
take aspirin for 30 min before taking the medication
A nurse is reinforcing teaching about immunizations with a client who is pregnant. Which of the following vaccines should the nurse include in the teaching as safe to administer during pregnancy?
tetanus and diphtheria (td)
A nurse is collecting data from a client who has been taking levodopa/ carbidopa. Which of the the following findings should indicate to the nurse that the medication is effective?
the client is able to wash his face
An older adult client who has terminal cancer reports pain at a level of 5 using a 0 to 10 pain scale. The client has a prescription for morphine 15 mg orally every 4 hr. The clients children expresses concern that the client is receiving too much of the medication. Which of the following responses should the nurse make?
the dose should remain constant to prevent breakthrough pain
A nurse on a medical surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the clients identify?
what is your name and date of birth?
A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?
while using the patch I will be careful when rising from a chair (nitroglycerin can cause orthostatic hypertension)
A nurse is caring for a client who is receiving methylpredinsoloine. Which of the following lab values should the the nurse plan to monitor?
white blood cell count, serum potassium, blood glucose
A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice?
yogurt
A nurse is reinforcing teaching about nicotine pilacilex gum with a client who smokes three packs of cigarettes per day. Which of the following statements should the nurse include in the teaching?
you should chew the gum for a full 30 minutes before discarding
