Pharm Study
A nurse is reinforcing teaching with a client who is to start taking intranasal cyanocobalamin to treat pernicious anemia. Which of the following instructions should the nurse include? "Lie down for at least 15 minutes after using the medication." "Expect to continue using the medication for 6 months." "Do not eat hot foods within 1 hour before or after taking the medication." "Limit dietary intake of dairy products."
"Do not eat hot foods within 1 hour before or after taking the medication."
A nurse is reinforcing teaching about medication interactions with a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching? "I need to stop using ibuprofen for my knee pain." "I can continue to take my St. John's wort supplement." "I need to stop taking my lisinopril every day." "I can continue taking the cimetidine I have been taking for 6 months."
"I need to stop using ibuprofen for my knee pain."
A nurse is reinforcing teaching with a client who is taking verapamil. Which of the following client statements indicates an understanding about the management of the adverse effects of this medication? "I will take the medication on an empty stomach." "I should include more high-fiber foods in my diet." "I will stand up when I feel dizzy." "I should skip my dose if my heart rate is above 100."
"I should include more high-fiber foods in my diet."
A nurse is reinforcing teaching about the storage of insulin with a client who has diabetes mellitus. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I should keep unopened insulin vials in the refrigerator." "Once I open an insulin vial, it is good until the expiration date." "Prefilled insulin syringes can be stored in my freezer for 1 week." "I need to throw out any mixed vials of insulin after 24 hours."
"I should keep unopened insulin vials in the refrigerator."
A nurse is caring for a client who has multiple chronic disorders. The nurse should administer magnesium hydroxide PRN in response to which of the following client statements? "I've had a migraine headache since I woke up this morning." "I need something to help decrease my anxiety." "I need something to help me get to sleep at night." "I've been having a lot of heartburn since dinner."
"I've been having a lot of heartburn since dinner."
A nurse is reinforcing teaching with an adult client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions should the nurse include? "Inject the medication deeply into a muscle." "Inject the medication into the hip." "Inject the medication once per week." "Use the same site for each injection."
"Inject the medication once per week."
A nurse is collecting data from a client who is postoperative following a total hip arthroplasty. The client received an opioid analgesic 45 min ago. The nurse should identify that which of the following client statements is the best indicator of a decrease in the intensity of the client's pain? "My pain is now a dull ache instead of sharp and stabbing." "My pain is now a five instead of a nine." "My pain isn't making me nauseous anymore." "The pain is now just in my hip, rather than my entire leg."
"My pain is now a five instead of a nine."
A nurse is reinforcing teaching with a client who has asthma and a new prescription for an albuterol multi-dose inhaler (MDI) 2 puffs every 4 hr as needed. Which of the following information should the nurse include in the teaching? "Hold your breath for 10 seconds after activating the MDI before inhaling the medication." "Prime the MDI before each use by activating the device twice into the air." "Use the spacer each time you use your MDI." "Inhale both puffs within 15 seconds of each other."
"Use the spacer each time you use your MDI."
A nurse is preparing to perform tuberculosis skin testing on a client. Which of the following actions should the nurse plan to take? Select a 20-gauge needle for the injection. Gently pinch the skin with the nondominant hand prior to the injection. Administer the injection into the inner forearm. Cleanse the injection site using an up-and-down motion.
Administer the injection into the inner forearm.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for insulin lispro. Which of the following information should the nurse include? The unopened vials of medication can be stored at room temperature. This medication should appear as a cloudy solution. Hypoglycemia can occur up to 8 hr after administration. Administer this medication immediately before meals.
Administer this medication immediately before meals.
A nurse is preparing to administer medications to a group of clients. The nurse should obtain the weight of which of the following clients to verify the correct dose? An older adult client who has anxiety and a prescription for lorazepam PO An adolescent who has ADHD and a prescription for methylphenidate transdermal An adult who has moderate pain and a prescription for meperidine IM An infant who has a fever and a prescription for acetaminophen PO
An infant who has a fever and a prescription for acetaminophen PO
A nurse is caring for a client who has type 1 diabetes mellitus and just regained consciousness following administration of 0.5 mg of glucagon subcutaneously. Which of the following findings should the nurse identify as an indication that the medication was effective? Nausea Blood glucose 82 mg/dL Diaphoresis BP 92/62 mm Hg
Blood glucose 82 mg/dL
A nurse is caring for a client who has an epidural infusion for pain management. Which of the following actions should the nurse take? Change the dressing over the site every 12 hr. Administer morphine PO as needed. Check respiratory effort every 2 hr for the first 24 hr. Check for bladder distention.
Check for bladder distention.
A nurse is caring for a client who is prescribed an intermittent IV bolus of an antibiotic medication every 8 hr. The client is currently receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take? Hang the bag of antibiotic medication 12.5 cm (6 in) lower than the bag of primary fluid. Cleanse the primary tubing port with antiseptic before connecting the antibiotic medication tubing. Flush the IV site with 2 mL of heparin solution after the antibiotic medication infusion is complete. Use a new set of intermittent IV tubing for each dose of antibiotic medication.
Cleanse the primary tubing port with antiseptic before connecting the antibiotic medication tubing.
A nurse is caring for a client who is newly admitted for infection of a surgical site. Which of the following actions should the nurse take prior to administering the first dose of vancomycin? Check the client's mouth for white patches. Collect a sterile wound specimen. Draw a peak vancomycin level. Set the infusion pump to administer the vancomycin over 30 min.
Collect a sterile wound specimen.
A nurse in a long-term care facility is performing medication reconciliation for a client who is being transferred from an acute care facility. Which of the following actions should the nurse take? Compare a list of the client's current medications with the medications they will receive in the long-term care facility. Notify the client's case manager of any discrepancies. Complete an incident report prior to completing the reconciliation process. Eliminate any over-the-counter medications from the medication list.
Compare a list of the client's current medications with the medications they will receive in the long-term care facility.
A nurse is contributing to the plan of care for a client who is receiving opioid analgesia for postoperative pain management. The nurse should identify that which of the following is a potential adverse effect? Constipation Hypertension Tachypnea Urinary incontinence
Constipation
A nurse is monitoring a client who is receiving 0.9% sodium chloride IV. For which of the following findings should the nurse slow or stop the infusion rate and notify the provider? Crackles Hypotension Dark yellow urine Flat neck veins
Crackles
A nurse is caring for a client who is to start taking estradiol. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? Deep-vein thrombosis Orthostatic hypotension Hypoglycemia Metrorrhagia
Deep-vein thrombosis
The nurse is caring for a client who has a new prescription for alprazolam. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? Tachycardia Weight loss Sore throat Drowsiness
Drowsiness
A nurse is caring for a 6-year-old child who received ketorolac IV for pain. Which of the following pain scales should the nurse use to document the effectiveness of the medication? FLACC Visual analog FACES Numeric rating
FACES
A nurse is preparing to administer several medications through a client's NG tube for a client who is receiving enteral feedings. All of the medications are crushable tablets. Which of the following actions should the nurse take? Lower the head of the client's bed to 15°. Crush the tablets and mix them with enteral formula. Crush the tablets together and dissolve them in 30 mL of tap water. Flush the tube with water before and after medication administration.
Flush the tube with water before and after medication administration.
A nurse is collecting data from a client who has epilepsy and has been taking phenytoin. Which of the following manifestations should the nurse document as an adverse effect of the medication? Hypertension Diarrhea Reddish orange-colored urine Gingival hyperplasia
Gingival hyperplasia
A nurse is reinforcing teaching with a client who has a new prescription for buspirone. The nurse should instruct the client to avoid drinking which of the following beverages while taking this medication? Milk Cranberry juice Coffee Grapefruit juice
Grapefruit juice
A nurse is administering 1.5 mg of hydromorphone IM from a 2-mg/mL vial to manage a client's postoperative pain. Which of the following actions should the nurse take when handling the remainder of the medication in the vial? Return the unused portion of the medication in its original vial to the pharmacy. Crush the vial and dispose of the remains in a sharps container. Store the remainder of the medication in the patient's medication drawer. Have a second nurse witness the disposal of the medication.
Have a second nurse witness the disposal of the medication.
A nurse is caring for a client who has cancer-related pain and is receiving an around-the-clock analgesic. The client has an additional prescription for a PRN analgesic. Which of the following actions should the nurse take to determine when to administer the PRN analgesic? Measure the client's blood pressure to validate reports of pain. Ask the client to make a schedule of when they would like the medication. Identify nonverbal expressions of pain to validate the client's reports of pain. Have the client rate their pain using a standard scale.
Have the client rate their pain using a standard scale.
A nurse is reviewing laboratory data from a client who began taking insulin 3 months ago for the management of uncontrolled type 2 diabetes mellitus. The nurse should identify that which of the following findings indicates the medication has been effective? Fasting blood glucose 140 mg/dL Urinalysis positive for ketones HbA1c 6.5% Potassium 5.5 mEq/L
HbA1c 6.5%
A nurse is collecting data from a client who received terbutaline 30 min ago. Which of the following findings should the nurse identify as an adverse effect of terbutaline? Blood glucose 50 mg/dL Blood pressure 98/62 mm Hg Heart rate 106/min Potassium 4.2 mEq/L
Heart rate 106/min
A nurse discovers that a client received a dose of furosemide instead of the famotidine the provider prescribed. For which of the following findings should the nurse monitor the client? Hyperkalemia Hypoglycemia Hypernatremia Hypotension
Hypotension
A nurse is monitoring a client who received their first dose of an antibiotic. For which of the following findings should the nurse call the rapid response team? Hypotension Pruritus Urticaria Rhinitis
Hypotension
A nurse is reviewing the medication administration record for a client who has a new prescription for vancomycin to treat a Clostridium difficile infection. The nurse should monitor the client's intake, output, and creatinine levels carefully because the client also takes which of the following medications? Docusate Ibuprofen Ondansetron Zolpidem
Ibuprofen
A nurse is preparing to mix NPH and regular insulin into a single syringe for administration to a client who has diabetes mellitus. Which of the following actions should the nurse take first when mixing the insulins? Withdraw the dose of regular insulin into the syringe. Inject air into the vial of regular insulin. Inject air into the vial of NPH insulin. Withdraw the dose of NPH insulin into the syringe.
Inject air into the vial of NPH insulin.
A nurse is preparing a liquid medication from a multidose bottle to administer to a client. Which of the following actions should the nurse take? Return excess liquid medication to the bottle after measuring. Place the bottle cap with the inside facing down. Keep the label of the bottle facing away from the hand when pouring. Measure the liquid at the base of the meniscus in a medication cup.
Measure the liquid at the base of the meniscus in a medication cup.
A nurse is performing an end-of-shift count of controlled substances. Which of the following medications should the nurse include in the count? Meperidine Naloxone Phenytoin Haloperidol
Meperidine
A nurse is preparing an insulin injection for a client who has type 1 diabetes mellitus. Which of the following insulins can the nurse combine in the same syringe? Glargine and regular NPH and regular Detemir and aspart Lispro and detemir
NPH and regular
A nurse is caring for a client who is receiving oxycodone and has a respiratory rate of 8/min. For which of the following medications should the nurse expect a stat prescription? Glucagon Naloxone Protamine Flumazenil
Naloxone
A nurse is preparing to administer ear drops to a client. Which of the following actions should the nurse take? Refrigerate the ear drops prior to administration. Clean the ear canal with a cotton-tipped swab before instilling the ear drops. Place the client in a lateral position after administration of the medication. Hold the medication dropper 2 cm (0.8 in) above the ear canal.
Place the client in a lateral position after administration of the medication.
A nurse is collecting data from a client who is taking digoxin and hydrochlorothiazide. The nurse should identify that which of the following findings indicates a need to monitor the client for digoxin toxicity? Potassium 3.0 mEq/L Apical heart rate 74/min Glucose 76 mg/dL Digoxin 0.5 ng/mL
Potassium 3.0 mEq/L
A nurse is preparing to administer warfarin to a client has a new diagnosis of atrial fibrillation. Which of the following laboratory values should the nurse check prior to giving the medication? Prothrombin time Platelet count Activated partial thromboplastin time (aPTT) Factor VIII assay
Prothrombin time
A nurse is collecting data from a client who is taking penicillin V potassium. Which of the following findings should the nurse report to the provider? Pruritus Altered taste Nausea Dry mouth
Pruritus
A nurse is collecting data from a client who is taking guaifenesin. Which of the following findings should the nurse identify as a manifestation of an allergic reaction to guaifenesin? Headache Insomnia Myalgia Rash
Rash
A nurse is preparing to administer a time-critical medication to a client whose last name is Smith. After verifying the identity of the client using the client's armband, which of the following actions should the nurse plan to take? Administer the medication within 1 hr of the scheduled time. Request that the client state their date of birth. Sign the medication record at the bedside before administration. Ask the client, "Are you Mr. Smith?"
Request that the client state their date of birth.
A nurse is reviewing the laboratory results of a client who is taking lithium and has a lithium level of 2.1 mEq/L. For which of the following findings should the nurse monitor the client? Seizure activity Hypertension Oliguria Abdominal distention
Seizure activity
A nurse is reinforcing teaching with a client who has a new prescription for methimazole to treat Graves' disease. The nurse should instruct the client to report which of the following adverse effects to the provider immediately? Drowsiness Headache Sore throat Joint pain
Sore throat
A nurse is caring for a client who is receiving lisinopril. The nurse should withhold the next dose and notify the provider when the client reports which of the following adverse effects of this medication? Dizziness Anorexia Swollen tongue Myalgia
Swollen tongue
A nurse is reinforcing teaching with a client who recently began taking controlled-release carbidopa/levodopa to treat Parkinson's disease and reports nausea and vomiting. The nurse should reinforce which of the following instructions with the client? Chew the medication thoroughly. Eat high-protein meals. Take the medication with food. Chew gum when feeling nauseated.
Take the medication with food.
A nurse is caring for a client who has cystic fibrosis (CF) and is receiving pancreatic enzymes. The nurse should monitor which of the following to determine the effectiveness of the pancreatic enzymes? The client's respiratory rate The client's sweat chloride results The client's stool output The client's urine output
The client's stool output
A nurse is reviewing the medical record of a client who is to start therapy with epoetin alfa. Which of the following findings should the nurse report to the provider as a contraindication for receiving this medication? Amenorrhea Uncontrolled high blood pressure Unstable blood glucose HIV infection
Uncontrolled high blood pressure