pharmacology

A client with diabetes mellitus has a foot infection and is to be started on antibiotic therapy with an aminoglycoside. The nurse collects data from the client and notes that the client has a hearing loss. The nurse should take which of the following actions next?

Inform the registered nurse (RN) about the hearing loss.

A nurse is assisting in caring for a client who is receiving morphine sulfate by continuous intravenous infusion. The nurse ensures that which medication is readily available if a morphine overdose occurs?

Nalmefene (Revex)

A nurse assisting in the care of a newborn has a standing prescription to administer the hepatitis B vaccine to the infant. The nurse should plan to do which of the following when carrying out this prescription?

Obtain written parental consent.

A nurse is caring for a child receiving carbamazepine (Tegretol) who has a carbamazepine level drawn. Which of the following results indicates a therapeutic level?

6 mcg/mL

A client newly diagnosed with diabetes mellitus is instructed by the health care provider to obtain glucagon hydrochloride (Glucagon) for emergency home use. The client asks the nurse about the purpose of the medication. The nurse instructs the client that the purpose of the medication is to treat:

Hypoglycemia from insulin overdose

Psyllium (Metamucil) is prescribed for a client with a cardiac disorder to facilitate defecation and prevent straining with bowel movements. A nurse provides instructions to a client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?

"I should mix the medication with a full glass of water."

A nursing student is assigned to care for a 30-week gestational woman who is admitted to the maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The nursing instructor asks the student about the purpose of the medication. Which statement by the student indicates an understanding of the purpose of this medication?

"This medication will promote fetal lung maturity."

A client with a closed head injury is receiving phenytoin (Dilantin), an anticonvulsant medication. Which of the following would indicate that the client is experiencing side effects related to this medication? Select all that apply.

3. Constipation 4. Bleeding gums 5. Hyperglycemia 6. Decreased platelet count

A client with peptic ulcer disease has a new prescription for propantheline (Pro-Banthine). The nurse instructs the client to take this medication:

30 minutes before meals

A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the client to:

Refrigerate the insulin.

A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will:

Take the daily dose at bedtime.

A client is receiving a daily dose of oral fluphenazine. The nurse would teach the client to do which of the following to minimize common side effects of this medication?

Use hard, sour candy or sugarless gum.

A health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication is going to be administered intrathecally. Which of the following medications should the nurse expect to be prescribed and administered by this route?

Baclofen (Lioresal)

A nurse employed in the emergency department receives a telephone call from the emergency alert system informing the department that a child who ingested a bottle of acetaminophen (Tylenol) is en route to the emergency department. The nurse prepares the room for the arrival of the child and checks the medication supply to determine whether which medication that is the antidote is available?

Acetylcysteine (Mucomyst)

A client receiving nifedipine (Procardia) for angina complains of feeling listless, with generalized weakness and no energy. To support the client most effectively, the nurse must understand that these symptoms:

Are an expected effect of the medication

A client who has developed atrial fibrillation that is not responding to medication therapy has begun taking warfarin (Coumadin). The nurse is performing dietary discharge teaching with the client. The nurse would plan to teach the client to avoid which of the following foods while taking this medication?

Broccoli

A nurse is assisting in preparing a diet plan for a client who is taking the anticoagulant, warfarin (Coumadin). The nurse instructs the client to exclude which of the following foods from the diet?

Broccoli

A licensed practical nurse (LPN) is administering medications to a client with chronic rheumatoid arthritis. The client has difficulty swallowing, and the film-coated form of diflunisal is prescribed. Which action by the LPN is most appropriate?

Consult with the registered nurse (RN) about contacting the health care provider (HCP) regarding a medication change.

A nurse is caring for a client with Paget's disease of the bone. The nurse understands that the client is receiving calcitonin (Cibacalcin) to:

Decrease bone reabsorption.

A nurse is caring for a client in labor. The nurse reviews the health care provider's prescriptions and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that the action of this medication is to:

Decrease pain.

A nurse is collecting data from a client and the client's spouse reports that the client is taking donepezil hydrochloride (Aricept). Which disorder would the nurse suspect that this client may have based on the use of this medication?

Dementia

A glucocorticoid is prescribed for a client with adrenal insufficiency, and the nurse provides medication instructions to the client. The nurse determines that the client needs additional instructions if the client states to:

Discontinue the medication when symptoms subside.

A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication?

Drowsiness

The nurse is reinforcing medication instructions to a client with breast cancer who is receiving cyclophosphamide (Neosar). The nurse tells the client to:

Increase fluid intake to 2000 to 3000 mL daily.

A nurse is providing instructions to a client regarding the administration of lypressin. The nurse instructs the client that the medication will be taken by which of the following routes?

Intranasal