Pharm vati

nurse is caring for a client who is receiving IV tobramycin and has a prescription for peak and trough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following times?

1745 and 1830

A nurse is reinforcing teaching with a client who is to start taking calcium carbonate as a calcium supplement. Which of the following foods should the nurse instruct the client to consume to increase the absorption of calcium?

2% cottage cheese 1/2 cup 4 oz

5mg / 2mg tablets

2.5 tabs

20/40*15ml

7.5 mL

A nurse is reinforcing teaching about ferrous iron to a parent of a child with iron deficiency anemia. Which of the following should be included in the teaching?

Administer ferrous iron with fruit juice

A nurse is presenting information about the meningococcal conjugate (MCV4) vaccine at a health fair. Which of the following individuals are candidates for the immunization?

An 18 year old adolescent who lives in a college

A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

Clarithromycin

A nurse is caring for a client. The client states, "I don't want to take my medication." Which of the following actions should the nurse take?

Document that the client refuses the medication.

A nurse 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 medication instructions with a group of clients. Which of the following statements by a client indicates a need for further clarification?

I'll take aspirin to relieve the ringing in my ears

A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

Laxatives are contraindicated in clients who have a small bowel obstruction.

A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following?

Move the decimal point 3 places to the right.

A nurse is caring for a client who has a detached retina and is scheduled for surgical repair. Preoperatively the nurse should prepare to administer which of the following medications?

Phenylephrine hydrochloride (AK-Dilate)

A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication?

Potassium

A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client?

Serum potassium

A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol. Which of the following instructions should the nurse include?

This medication will provide long-term control of your asthma symptoms

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to treat insomnia?

Valerian

A nurse is caring for a client with cirrhosis who has a prothrombin time of 30 seconds. Which of the following medications does the nurse anticipate the provider will prescribe?

Vitamin k

A nurse is reinforcing teaching with 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 effects are evident

A nurse in a provider's office is collecting data from a client who has systemic lupus erythematosus (SLE) and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which of the following is an adverse effect of this medication?

blurred vision

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

bradycardia

A nurse is collecting data from a client who has hypothyroidism and is to start taking levothyroxine. Which of the following over-the-counter medications should the nurse instruct the client to separate taking by 4 hr?

calcium carbonate

A nurse administered nitroglycerin sublingually to a 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 it will probably occur less often over time"

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." How should the nurse respond?

"Describe what pill usually looks like."

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse review with the client? (Select all that apply.)

Do not drink alcohol beverage-because hepatotoxicity and alcohol ingestion can increase the risk of liver damage. Reports unexplained bruising to the provider-Causes thrombocytopenia. Clients sugar for bruising or Petachiae as they might indicate a low platelet count. Avoid people who have infection-Class is bone marrow suppression and increase the risk for infection.

A nurse is preparing to administer subcutaneous regular insulin to a client before he eats breakfast at 0800. Which of the following actions should the nurse take?

Give the insulin at 30 min before breakfast

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to treat osteoarthritis of the knee, hip, and wrists?

Glucosamine

A nurse is caring for a client who has thrombophlebitis and has been placed on IV heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses by the nurse is appropriate?

Heparin prevents new clots from forming rather than dissolving established clots

A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Inform the provider of the client's potassium level.

A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Monitor for a compression fractures of the back and the neck The client who is taking high doses of glucocorticoids for extended period of time can have a one loss, especially first in the back and neck, within weeks after starting the medication. This bone loss can result in fractures. There is increase in parathyroid hormone which causes calcium to move out of the bones.

A nurse is evaluating the morning laboratory reports of a client who has bipolar disorder. The laboratory report indicates. a serum lithium level of 2 mEq/L. In responding to this report, which of the following actions should the nurse anticipate?

Monitoring the client for signs of lithium toxicity

A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?

Naloxone

A nurse is preparing to administer orlistat to a client for treatment of obesity. For which of the following adverse effects should the nurse monitor?

Oily fecal spotting

A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?

Platelets 74,000/mm3

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

A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor for this client?

Potassium

A nurse is caring for a client who is to start taking tamoxifen as a treatment for breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

hot flashes

A nurse is caring for a newly admitted client diagnosed with diabetes mellitus. The nurse notes that the client is confused, flushed, and has an acetone odor on his breath. Based on her findings, the nurse suspects diabetic ketoacidosis and should anticipate using which of the following types of insulin to treat the client?

Regular (humulin R)

A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's while in bed?

Sims position

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 talking with a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication treats coughs because of which of the following actions?

Stimulates secretions

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.

A nurse at a family practice clinic receives a call from a client who is taking oral contraceptives but forgot to take one oral contraceptive pill. Which of the following instructions should the nurse reinforce for her?

Take the misdose along with your regular dose

A nurse is preparing an injection using a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands.

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

acid indigestion

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 collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

anorexia

A nurse is reinforcing teaching with a client who has a new prescription for codeine. Which of the following information should the nurse include in the teaching?

change positions slowly

nurse in a provider's office is reinforcing teaching with a client who is to start taking colchicine orally for gout. The nurse should tell the client that which of the following findings is an adverse effect of colchicine?

diarrhea

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

difficulty voiding

A nurse is caring for a client who has osteoporosis and is taking calcium carbonate. The nurse should monitor the client for which of the following adverse effects?

flank pain

A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication?

history gastric ulcers

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

ill need to report weight loss or gain to my provider while taking this medication

A nurse notes that a client's laboratory findings reveal agranulocytosis. The client is taking propylthiouracil to treat hyperthyroidism. The nurse should monitor the client for which of the following?

infection

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

The nurse is planning to administer ear drops to an adult client. Which is the correct method for the nurse to do it?

The auricle is pulled up and back

A nurse is collecting data for a client who has been receiving parenteral morphine 10 mg 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 her severe pain. Which of the following phenomena should the nurse realize the client is experiencing?

opioid tolerance

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

tachypnea

A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?

take the medication at the first indication of chest pain