Pharmacology

A client takes quinine sulfate. The nurse determines further teaching is required if the client makes which statement.

"I enjoy a glass of tonic water in the evening with dinner."

The nurse learns a client has been taking simvastatin for seven months. Which statement by a colleague does the nurse correct?

"I should take the client's blood pressure in supine, sitting, and standing positions."

The nurse instructs a client diagnosed with bipolar disorder and receiving lithium 300 mg three days a day. The nurse determines that teaching is effective if the client makes which statement? (Select all that apply)

"I will need to switch to decaffeinated coffee" "I will eat a moderate amount of sodium" "I need to drink between 2 and 3 liters of fluid daily"

The nurse provides medication teaching for a client prescribed spinolaxtone for treatment of hypertension. The nurse determines that further teaching is necessary if the client makes which statement? (Select all that apply)

"I will use a salt substitute instead of iodized salt." "I limit my fluids so I don't have to run to the bathroom."

The nurse provides medication education for a client with a prescription for digoxin 0.125 mg po daily. The nurse determines teaching if effective if the client makes which statement?

"If my pulse is under 60 beats per minute, I should take the digoxin and then take my pulse again in one hour."

The nurse on the cardiac rehabilitation unit knows the maintenance does of digoxin for adults is in which range?

0.125-.5 mg

A client is prescribed 0.25 mg digoxin PO daily. Digoxin is available in 0.5 mg per mL. How many mL does the nurse administer to the client?

0.5mL

A client receives ibuprofen 400 mg orally quid. The nurse knows the client receives how many grams of ibuprofen per day?

1.6 grams

The home health care nurse provides care for a client diagnosed with type 1 diabetes. The nurse injects regular insulin subcutaneously at 1130. The nurse knows the peak action action of this insulin will occur at which time?

1230 to 1630

The client is receiving 40 drops per minute of dextrose 5% in water. The IV set delivers 10 drops per milliliter. If the nurse starts the IV infusion at 1200 with 1,000 mL, how many mL will remain at 1530?

160 mL-calculate mL/min40 gtts/min / 10 gtts/mL = 4 mL/min-calculate mL/hr4 mL/min * 60 min = 240 mL/min-calculate total infused240 mL/hr * 3.5 hr = 840 mL-subtract total infused for total hanging1000 mL - 840 mL = 160 mL

Cefarcolor 10 mg/kg/ every 12 hours is prescribed for a child client weighing 44 lb. The medication comes in an oral suspension that contains 250 mg/ 5 mL. How many mL does the nurse administer for each dose?

4 mL

A client receives aminophylline 400 mg every 6 hours. The ampule contains 500 mg in 20 mL of fluid. How many mL does the client receive in 24 hours?

64 mL

The emergency department nurse is notified that a client is being brought with probate acetaminophen overdose. Which medication does the nurse prepare to administer?

Acetlcysteine

A client is prescribed morphine per patient controlled analgesia (PCA pump) to control pain following surgery, the nurse assesses the client and notes the client is lethargic the respiratory rate is 6 per min and the client pupils are pinpoint which intervention does the nurse provide immediately?

Administers naloxone hydrochloride

The nurse in the mental health clinic understands which foods must be avoided by clients taking phenelzine sulfate?

Aged cheese, lunch meats, tofu, chocolate

The client is diagnosed with systemic lupus erythematosus(SLE). The nurse understands which is an adverse effect of prednisone used for this client? (Select all that apply)

Alteration in mental status Poor wound healing Muscle wasting

A client has filled s prescription for dorzolamide for newly diagnosed glaucoma. The nurse knows the client needs additional education if the client makes which statment?

Although I had a reaction to sulfa medications, I don't need to worry about the eye drops."

A client is diagnosed with a severe exacerbation of (COPD) and is prescribed dexamethasone. The client is taking this medication with symptoms would the nurse expect to observe

An increase in the blood glucose.

The nurse provides medication teaching with a diagnosis of hypertension who is prescribed a clonidine patch. Which statement is most important to include in the teaching?

Apply the patch to a clean, dry hairless site on the upper arm, outer arm, or upper chest.

The nurse provides education for a young adult client being treated for trichomoniasis with metronidazole. Which instruction by the nurse is most appropriate?

Avoid sexual intercourse during the use of metronidazole for trichomoniasis unless a condom is used.

The nurse understands that the similarities between a Schedule 1 drug and a schedule V drug include which of the following?

Both Schedule 1 and Schedule V drugs have some abuse potential

A client with a diagnosis of anxiety and depression comes to the community mental health center and reports of feeling overwhelming anxiety follow ing the loss of a job. The client has a history of drug and alcohol abuse but now reports sobriety for over two years. Which anti anxiety medication does the nurse expect to be prescribed for the client

Buspirone

The nurse provides for a client admitted with a diagnosis of respiratory tract infection. The client tells the nurse of an allergy to Penicillin. The nurse most concerned if which medication is prescribed?

Cephalexin

The nurse receives a phone call from the radiology department. A department staff member will come in 30 minutes for the client scheduled for abdominal x-rays. It is essential that the nurse administer which medication to the client prior to leaving the unit?

Ciprofloxacin 400 mg IV

The nurse instructs a group of pregnant clients about Lamaze techniques. During class. the nurse hears one participant tell another participant, "Taking medication during pregnancy is very risky, so you should stop taking the medication your health care provided prescribed." Which response by the nurse is best?

Depending on the medication and the trimester of pregnancy, the appropriate choices can be made.

A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse knows which medication will most likely be prescribed to the patient?

Disulfiram

The nurse recognizes which antipsychotic is used as a treatment for Tourette syndrome?

Haloperidol.

The nurse provides care for a client with asthma. Which medication prescription would the nurse question for a client with asthma?

Hydrocodone

The nurse instructs a client prescribed immediate release lovastatin for treatment of hypercholesterolemia. The nurse determines teaching is successful if the client makes which statement?

I always take this medication with food to help avoid an upset stomach.

A client with a diagnosis of multiple sclerosis is prescribed baclofen 10 mg four times a day for muscle spams. When caring for the client the nurse is most concerned if the client makes which statement?

I have not been able to have a bowel movement for 3 days and I feel so bloated.

A client with a diagnosis of urinary tract infection is receiving phenazpyridine. The nurse determines the client understands the treatment when the client makes which statement?

I know it is expected for my urine to turn orange.

A client plans to stop smoking and has a presciption for bupropion. Which statement indicates to the nurse that medication education is successful?

I should not stop smoking until I have ten the medication for at least one week.

The nurse instructed a client taking lansoprazole for the first time. The nurse determines teaching is effective if the client makes which statement?

I should take the medication before meals.

The nurse assesses a client taking the contraceptive medroxyprogesteone. The nurse os most concerned if the clients makes which statement?

I take my blood pressure once or twice a week.

The home care nurse receives a. phone call from a client diagnosed with hypertension and arthritis. The client reports taking aspirin every morning for a year to reduce pain experienced in both knees upon arising. The client states the aspirin relieves the pain, but the clients spouse notices clients eye and skin look yellow. Which statement by the nurse in most appropriate?

I will contact your health care provider to obtain a prescription for lab work to determine why you are jaundiced.

The nurse instructs a client diagnosed with atrial fibrillation about lisinopril. Which client statement indicates teaching is effective?

I will use spices to season my food and avoid table salt and salt substitute.

The nurse teaching a client about the use of stool softener following surgery. Which instruction is most important for the nurse to include?

It's very important for you to drink plenty of liquids while you are taking this medication.

An older adult client with a diagnosis of angina has been prescribed sustained- rebased nitroglycerin tablets. The home health nurse provides medication information to the client. Which information is most important for the nurse to include?

Keep the medication dry in a tightly sealed container out of the reach of children.

A client with a history of asthma and bronchitis is prescribed montelukast. The nurse determines the client understands teaching about the medication when the client makes which statement?

Montelukast takes several weeks to lessen the effects of chronic asthma

The home care nurse teaches a client using a metered-dose inhaler. Which method does the nurse teach the client to determine when to replace the canister?

My the number of doses used, and compare to the number avilable

The nurse cares for the client diagnosed with degenerative joint disease. Then nurse reviews the clients medications and notes the client takes acetaminophen and celecoxib. The nurse is most concerned if the client makes which statement?

My urine is dark even though I drink plenty of fluids

The nurse provides care for a client with a diagnosis of gout who has received a prescription for allopurinol. The nurse provides medication teaching to the client. It is most important for the nurse to make which statement?

Notify the health care provider if you develop any skin rash

A client diagnosed with stroke has taken Phenobarbital for seizure control for 2 years. The clients partner calls the clinic and tells the nurse that the clients speech is slurred and the client is making confused statements. The clients neurologic baseline is alert and oriented with clear, appropriate speech, Which nursing action ism most approrpiate?

Obtain a prescription for a blood specimen

A client receives promethazine for reports of nausea following surgery. The nurse will monitor the client for which adverse effect after administering this medication? (Select all that apply)

Over sedation Uncontrolled eye movements Tinnitus

A client who is diagnosed with obesity seeks assistance with weight loss. The nurse understands which medication is most likely to be prescribed for the client?

Phentermine

A client asks the nurse why diphenhydramine may be prescribed. The nurse understands that diphenhydramine may be prescribed if a client repots which symptom? (Select all that apply)

Pruritis Motion sickness Rhinitis

The client calls the nurse 10 days after beginning to use beclomethasone nasal spary due to seasonal allergies. The client reports that even though the medication is being used correctly, only slight relief has been experienced. Which action by the nurse is most important?

Remind the client that the peak effect can take up to three weeks of regular use.

The nurse knows that vitamin B12 is found naturally in many foods. Which food contains the GREATEST amount if vitamin B12?

Seafood

The nurse cares for a client admitted with a diagnosis of diabetic keto-acidosis. The nurse anticipates the health care provider with order which type of insulin?

Short-acting insulin

The nurse recongizes which medication is ineffective for the treatment of pulmonary emboli?

Streptomycin

The nurse reviews the adverse effects of medications that are used to treat clients diagnoses with type 2 diabetes mellitus. Which class of medication is most likely to cause the adverse effect of moderate to severe hypoglycemia?

Sulfonylureas

The nurse provides medication teaching to a client prescribed ibandrondate. Which is the most important information for the nurse to inculde?

Swallow the medication with a fill glass of water and remain upright for 30 minuets.

A client diagnosed with neuralgia has been predicted gabapentin. The nurse teaches the client about the medication. Which information is most important for the nurse to include?

Take the medication two hours before or after taking an antacid.

The nurse teaches a client diagnosed with type 1 diabetes how to administer both regular and intermediate acting insulin in one syringe. Which actions by the client the client understands how to correctly administer these medications?

The client draws up the regular insulin first, the the intermediate acting insulin.

A client diagnosed with acute gout has been taking daily ibuprofen as prescribed for four weeks. The client tells the nurse that a ringing sound has developed in the ears. Which is the best interpretation by the nurse?

The client has signs of toxicity and should d/c the medication until the health care provider is contacted.

A client diagnosed with depression is scheduled to begin a series of electroconvulsive therapy (ECT) treatments. It is most important for the nurse to notify the health care provider about which information?

The client is being treated for glaucoma

The nurse prepares a client diagnosed with venous thromboembolism (VTE) for discharge. The health care provider prescribed warfarin. It is MOST important for the nurse to include which statement in the discharge instructions?

The client will require routine blood testing

The nurse provider care for a client with a diagnosis of depression who has been receiving fluoxetine for 8 months. The client reports been on the medicine I feel less depressed, but I have frightening dreams and I want to stop taking it" Which response by the nurse is most appropitate?

The dosage of medication must be reduced gradually you may experience severe adverse effects.

A client has just been diagnosed with rheumatoid arthisitis and prescribed prednisone. Which information is most important for the nurse to include when teaching the client about this medication?

The dose of prednisone must be increased and decreased gradually

The nurse on the postsurgical unit reminds another nurse that both potassium chloride injectable concentrate and IV promethazine are "high alert" medications. The nurse understands that a "high alert" classification has which meaning?

The medication can pose a risk to clients if extra care is not used in their storage and administration.

The nurse provides care for a client with a diagnosis of (GERD) who is receiving famotidine. The client reports muscle weakness and dark urine. Which response by the nurse is best?

The symptoms you describe could indicate liver impatient. I will notify the health care provider.

The nurse understands which occurrence is an adverse effect or toxic effect of aspirin?

Tinnitus, nausea, vomiting

The nurse provides care for a client with a central nous access device who is receiving intermittent infusions of intravenous antibiotics. When a dose is of medication is completed, the nurse flushes the catheter with 10 mL of saline and 10 units of heparin. The nurse understands the heparin is prescribed for which reason?

To ensure the venous catheter remain patent.

The nurse identifies which medication is used for the treatment of Parkinson disease?

Trihexyphenidyl

A client diagnosed with peptic ulcer disease has been instructed to take cimetidine once per day. The client sates, "I have difficulty remembering to take my medication every day" Which instruction is most appropriate for the nurse to give the client?

Try taking the medication one a day at bedtime.

The nurse provides care for a client receiving clestipol. The nurse encourgaes the client to eat foods rich in which vitamins? (Select all that apply)

Vitamin A Vitamin D Vitamin K

A client who receives methadone as a part of maintenance for treatment. for a narcotic addiction is transported to the ER with a diagnosis of severe abdominal pain. Which symptoms would the nurse expect to observe if the client were in state of withdrawal from methadone?

Vomiting and chills.

A client with a diagnosis of herpes zest has taken acyclovir for one week. The client calls the clinic and reports to the nurse. "I am bruising so easily and I have started running a fever. " Which statement by the nurse is most appropriate?

You need to be seen by the health care provider immediately.

A client with a diagnosis of heart failure is prescribed oral furosemide. When providing medication teaching, which information os most important for the nurse to include?

You will need to get up slowly from the bed or chair.

The nurse teaches a pregnant client about taking carbonyl iron. It is most important for the nurse to include which statement?

Your stool may turn back or dark green.

The nurse observes another nurse administer a parenteral injection. The nurse pulls the clients skins to one side, holds the skin, inserts the needle at a 90 degree angle , inject the medication, withdrawals the needle, and relates the skin. The nurse is using which technique to administer the medication?

Z-track

the nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine. When providing medication education to the client, the nurse includes information about which common adverse effects?

abnormal motor movements and dry mouth

A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for pain after surgery. The nurse assesses the client 30 minutes after giving the medication for a report of pain of 8 on the 1-10 numeric pain scale. The client's vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The client reports a pain level of 8. Which action by the nurse is MOST appropriate?

assess the level of sedation

An adult male client takes finasteride. The nurse knew the most likely adverse effect of finasteride includes which finding?

decreased libido and imptence

The nurse provides information to a client diagnosis of anemia about good dietary sources of folic acid and folate. Which food is included in the teaching plan? (Select all that apply)

dried beans, bran, citrus fruits, fresh vegetables

A client diagnosed with gastroenteritis is instructed to take loperamide for episodes of diarrhea. Which information does the nurse include when teaching the client about this medication?

his medication may cause you to have a dry mouth"

the nurse counsels a client receiving cromolyn to treat bilateral conjunctivitis. nurse intervenes if the client makes which statement

i put the drops in my eyes after i put my contact lenses in

the nurse instructs a client with a diagnosis of epilepsy who is prescribed phenytoin sodium. The nurse determines teaching is successful if the client makes which statement?

i should avoid drinking alcohol while taking this medication

a client reports multiple watery bowel movements after taking a prescribed antibiotic for several days. The client is prescribed loperamide. It is MOST important for the nurse to follow up on which client statement?

i will stop taking the antibiotic until this diarrhea stops

which nursing measure is included in the teaching plan for a client regarding the use of beclomethasone (beconase)?

instruct the client on the proper use of the inhaler

the nurse provides care for a patient with active diagnosis of tb. The nurse anticipates which medications will be prescribed for the clients treatment?

isoniazid and rifampin

A client asks the nurse, "How does lovastatin work" Which is the nurses best response?

lovastatin prevents an enzyme in the liver from making more cholesterol

The nurse provides medication education for a client receiving lovastatin. Which information is MOST important for the nurse to include?

notify the health care provider if you experience muscle pain

The home health care nurse visits an older adult client receiving quetiapine tablets three times a day. The client's spouse states, "My spouse just seems so restless and moves constantly." which action by the nurse is MOST important?

notify the health care providers

Which instruction by the nurse is best to include when teaching a client about amlodipine

report any swelling of the face or extremities to the health care provider

the nurse provides care for a client diagnosed with rheumatoid arthritis who reports cramping and abdominal discomfort after taking prescribed hydrocortisone. Which instruction by the nurse is BEST?

take hydrocortisone with food and not on an empty stomach

A client with a diagnosis of metazoic lung cancer is prescribed a transdermal fentanyl patch. Which information must the nurse understand to ensure the client achieves effective pain relief?

the client will require administration of pain medication for several hours after application of the patch

the nurse provides care for a client who is prescribed sertraline. Which statement is MOST important for the nurse to make?

this medication may make it more difficult for you to sleep at night

A client diagnosed with hypertension and heart failure has been prescribed captopril. Which statement is most important for the nurse to include when providing medication education to the client?

you should avoid salt substitutes while you are taking this medication

a client has a history of migraine headaches. The nurse recognizes which medication is used to treat the client's migraine headaches?

zolmitriptan