Pharm test 1 part 2

a nurse is reinforcing teaching for a client who has rheumatoid arthritis for aspirin 650mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy

Bleeding

a nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil. The nurse knows that the sildenafil is contraindicated due to an interaction with which of the following client's medications

Isosorbide

a nurse is caring for a client who states "I am not going to take my medication anymore" which of the following responses should the nurse make

Tell me more about this decision

a nurse administered nitroglycerin sublingually to client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate

"A headache is a common adverse effect of this medication, but will probably occur often over time"

a nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make

"Apply the ointment in a thin line into the conjunctival sac"

a nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from a albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching

"I will hold my breath at least 10 seconds after inhaling the medication"

a nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by he client indicates an understanding for the teaching

"I will hold my breath at least 10 seconds after inhaling the medication"

a nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make

"If I crush it you might experience a stomach ache or indigestion"

a nurse is reinforcing teaching with a client who it is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching

"It's okay to crush a tablet as long as i make sure it dissolves completely in water before swallowing it"

a nurse is caring for a client who has a prescription for diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse make

"Take the daily dose at bedtime"

q nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make

"apply ointment in a thin line into the conjunctival sac"

a nurse is reinforcing teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include

"avoid driving until the medication's effects are evident"

a nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse is both medications are necessary. Which of the following is an appropriate response by the nurse

"heparin will be continued until the warfarin reaches a therapeutic level"

a nurse is reinforcing teaching for a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include

"if your mouth is dry, take a sip of water before putting the tablet under your tongue"

a nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication

1 cup (8oz) of applesauce

a nurse is caring for a client who has hypertension and it is to start taking atenolol. The nurse should instruct client to monitor for which of the following findings as an adverse effect of this medication

bradycardia

a nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack

Albuterol

a nurse is caring for a client who is experiencing an acute asthma attack. Which of the following prescriptions should the nurse anticipate

Albuterol via jet nebulizer

a nurse in a community clinic is collecting data from a client who is withdrawing from heavy cocaine use. When collecting data from the client which of the following manifestations should the nurse expect to observe

Apathy

a nurse is reinforcing teaching with a client who has a new prescription has a new transdermal nitroglycerin for angina pectoris. Which of the following instructions should the nurse include

Apply a new patch each day

a nurse is preparing to use the z-track technique to administer a medication to a client. Which of the following actions should the nurse plan to take

Aspirate 5 to 10 seconds

a nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate 49/min. The nurse should prepare to administer which of the following medications

Atropine

a nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action

Check the client's vital signs

a nurse is caring for a client who tells him he does not want to take his morning medication. Which of the following actions should the nurse take

Document the client's refusal of the medication

a nurse is collecting a medication history from a client who takes herbal supplements and is scheduled for a surgical procedure in 10 days. The nurse should inform the client that which of the following dietary supplements increases the risk of bleeding

Feverfew

a nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance

Ginkgo biloba

a nurse is reinforcing teaching with a client who is to start taking atorvastatin. The nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy

Liver function tests

a nurse is collecting data for a client who has been receiving parental morphine 10mg every 4 hr for the past week due to a serious traumatic injury to the pelvis and lower extremities. The client is awake and alert but states that the morphine no longer seems to be relieving for severe pain. Which of the following phenomena should the nurse realize the client is experiencing

Opioid tolerance

a nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider

Potassium level of 3.0 mEq/L

a nurse is preparing to administer dimenhydrinate to a client. The nurse should explain to the client that the purpose of this medication is to do which of the following

Reduce nausea

a nurse is collecting data from a client who is to start taking digoxin for hear disease. The nurse should instruct the client to avoid taking which of the following herbal supplements

St. John's wort

a nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide

Take the medication in the evening hours

a nurse is caring for a client who asks how albuterol (proventil) helps his breathing. Which of the following should the nurse include in the response? ( select all that apply)

The medication will prevent wheezing The medication will open airways The medication will decrease coughing episodes

a nurse is reviewing he medication administration records of a group of clients who have been newly admitted to long-term care facility. Which of the following clients should the nurse monitor for extrapyramidal symptoms

a client who has schizophrenia and is taking an antipsychotic medication

a nurse is talking with a client who says she knows someone who takes metoprolol for blood glucose pressure and asks if the medication would be appropriate for her as well. Which of the following data from the client's medical record should the nurse identify as a contraindication to metoprolol

a history of sinus bradycardia

a nurse is preparing to administer a liquid medication to a 10 month old infant who is crying. which of the following actions should the nurse take to minimize to possibility of aspiration

administer the medication with a needleless syringe placed in the buccal pouch

when checking the medication administration records of four clients a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which of the following medications should the nurse administer first

alendronate

a nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take

apply gentle pressure with a finger to the tragus of the ear

a nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has new prescription for finasteride. Which of the following information should the nurse include in the teaching

decreased libido is an adverse effect of the medication

a nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client

fold used patch with medication area to the inside and discard in a closed receptacle

a nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for enoxaparin. Which of the following instructions should the nurse include in the teaching

have a protamine available in case of overdose

a nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider

heart failure

a nurse is collecting data from a client prior to administering atenolol. For which of the findings should the nurse withhold the medication

heart rate 50/min

a nurse is collecting data from a client who has prescriptions for several daily medications and reports she also uses a variety of herbal supplements, including garlic, ginger root, and ginkgo biloba. The nurse should inform the client that these herbal preparations can cause which of the following medication interactions

increased effects of oral anticoagulants

a nurse is preparing to administer heparin intravenously to a client. Which of the following actions should the nurse take

obtain an infusion pump to regulate the continuous flow of the medication

a nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take

pinch the skin up at the chosen site with the nondominant hand before inserting the needle

a nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent indicates a need for further instruction

positions infant in a supine position

The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take

pull the pinna upward and backward

a nurse is reinforcing teaching with a client who reports urinary urgency and frequency. The nurse should identify that the client can use which of the following herbal supplements to treat to the symptoms of an enlarged prostate

saw palmetto

a nurse us preparing to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed

sim's

a nurse is preparing to administer bethanechol to a client who is postoperative. The nurse should explain to the client that which of the following is an expected outcome of the medication

stimulate voiding

a nurse is reinforcing teaching with a client who has a new prescription for simvastatin. which of the following instructions should the nurse include

take the medication in the evening hours