Pharmacology AIT, Pharmacology, Practice A
A nurses caring for a client who is receiving haloperidol for which of the following adverse affects of the nurse be observing
Akathisia Akathisia is an extra extrapyramidal symptom that can be caused by haloperidol
A nurse is caring for a client who has acute acetaminophen toxicity. the nurse should anticipate administering which of the following medications?
Acetylcysteine
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?
Administer the medication outside the 5-cm (2 in) radius of the umbilicus
A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching?
"Check for bruising while taking this medication."
A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?
"I have tendonitis, so I haven't been able to exercise."
A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages?
2 months
A nurse is preparing to administer ciprofloxacin 15/mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose?
300
A nurse is caring for a client who is to receive 0.9% sodium chloride at a rate of 1L q 8hr. The drip factor shown on the package of IV tubing is 15gtt/mL the nurse should regulate the IV to deliver how many gtt/min (nearest whole)
31 gtt/min
A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 ml IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min?
31 gtt/min
A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 ml. How many ml should the nurse administer per dose?
6.3 ml
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching?
A transition in care requires the nurse to conduct medication reconciliation
A nurse is caring for a client who is receiving haloperidol. the nurse should observe for which of the following findings as an adverse effect of the medication?
Akathisia
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? A. Blood glucose levels will be monitored during therapy B. Avoid contact with people who have known infections C. Take the med 1 hr before breakfast D. Decrease dietary intake of foods containing K+ E. Grapefruit juice can increase the effects of the medication
A. Blood glucose levels will be monitored during therapy B. Avoid contact with people who have known infections E. Grapefruit juice can increase the effects of the medication
A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide
A. Carbamazepine
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? A. Chest pressure B. White patches on the tongue C. Bruising D. Insomnia
A. Chest pressure
And nurses providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma which of the following medications should the nurse instruct the client to use during an acute asthma attack
Albuterol albuterol is a short acting beta 2 adrenergic agonist which causes bronchodilation relieves bronchospasm during acute asthma attacks the nurse should instruct the client to keep medication nearby for emergency use
A nurse in the clinic is talking to a client on the phone who tells the nurse he has not taken any of his morning medications and reports tinnitus the nurse instructs the client to come to the clinic and withhold which of the following medications
Aspirin tinnitus is not a side effect of clopidogrel
A nurse is teaching a client about warfarin. The clients asks if she can take aspirin while the warfarin. Which of the following responses should the nurse make?
Aspirin will increase the risk of bleeding
A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?
Atropine
A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? A. I will need to get lab testing prior to a refill B. I will use this medication for a short period of time. C. I will need to take this med for 1 week before results are seen D. I will need to change the med to prevent building up a tolerance
B. "I will use this medication for a short period of time."
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? A. Cholelithiasis B. Asthma C. Angina pectoris D. Tachycardia
B. Asthma
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A. Methadone B. Naloxone C. Diazepam D. Bupropion
B. Naloxone
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?
Bibasilar crackles
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effects of the medication and report to the provider?
Blood in the urine
The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus with prednisone the nurse should inform the client to expect to undergo which of the following diagnostic test to monitor for long-term complications
Bone density scans adverse effects of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? A. 1000 B. 0900 C. 0830 D. 1200
C. 0830
A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication? A. difficulty seeing in the dark B. pinpoint pupils C. Blurred vision D. excessive tearing
C. Blurred vision
A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? A. Take the med with food B. Expect a fine, red rash as a transient effect C. Drink 8 to 10 glasses of water daily D. Store the med in the fridge
C. Drink 8 to 10 glasses of water daily
A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A. Ondansetron B. Magnesium sulfate C. Flumazenil D. Protamine sulfate
C. Flumazenil
A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? A. I should take my med with antacids to minimize gastric upset B. This type of med doesn't require blood monitoring C. I should let my dentist know I'm taking this medication. D. I should expect to experience some unusual eye movement when taking this med.
C. I should let my dentist know I'm taking this medication.
A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. I will apply the patch once a week for 2 weeks B. I will leave the existing patch on for 4 hours after applying the new patch C. I will fold the sticky sides of the old patch together before disposing it. D. I will apply the patch within 14 days of menses
C. I will fold the sticky sides of the old patch together before disposing it.
A nurses caring for a client taking Atorvastatin which of the following should the nurse monitor for the client
CK Mild injury causing muscle weakness or aches develops in some clients taking statins and this occasionally progresses to myositis creatinine kinase (CK) levels rise in response to enzyme is released with muscle injury
A nurses caring for a client who has a new diagnosis of type 1 diabetes mellitus. The nurse administers regular insulin six units subcutaneously at 0700 at 1000 the client reports feeling nauseous and lightheaded which of the following actions should the nurse take first
Check the clients blood glucose level the first action that a nurse should take using the nursing process is to assess the client therefore the nurse should check the clients blood glucose level
A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion the nurse should advise the client that decongestants
Constrict blood vessels sympathomimetics work by constricting blood vessels which relieves congestion however this vasoconstrictive effects can also increase blood pressure
A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication?
Creatinine 2.6 mg/dl
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following lab values should the nurse monitor?
Creatinine kinase
A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise- induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity?
Cromolyn
A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?
D. "Drink a glass of milk with each dose of medication."
A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? A. HTN B. Low INR C. Constipation D. Bleeding gums
D. Bleeding gums
A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? A. Pulmonary function tests B. Electrocardiograms C. Liver function studies D. Bone density scans
D. Bone density scans
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care?
Determine apical pulse prior to administering
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?
Discontinue the medication IV infusion
A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions?
Do not mix this medication in a syringe with other insulin
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?
Drink 2 L of water a day
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately?
Dyspnea
A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for histoplasmosis for which of the following adverse affects of the nurse notify the provider
Fever fever and chills are signs of an infusion reaction that requires immediate intervention
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching?
Hot flashes
A nurse is caring for a client to his heart failure and is prescribe enalapril the nurse should monitor the client for which of the following
Hyperkalemia a client taking enalapril can develop hyperkalemia due to potassium retention by the kidneys
Nurses in a providers office is assessing a client who has been taking aspirin daily for the past year which of the following findings should the nurse notify the provider immediately
Hyperventilation aspirin may cause gastrointestinal distress including heartburn but that is not the most urgent finding
A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
I will check my heart rate before I take the medication
A nurse is teaching about a new prescription for ciprofloxacin to an older adult who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching?
I will report any signs of tendon pain or swelling
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicated an understanding of the teaching?
I will take the patch off right after my evening meal
A nurse is collecting a medication history from client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications?
Ibuprofen
A nurse is assessing a client who is receiving alfa to treat anemia. Which of the following findings should the nurse monitor?
Increased blood pressure
A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy?
Increased platelet count
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication?
Insomnia
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication.
Oral candidiasis
A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes uriticaria, dysrhythmia anxiety and hypotension. Which of the following should the nurse anticipate administering?
Parenteral epinephrine The client findings indicate an allergic reaction to cefazolin therefore the nurse should anticipate administering parenteral epinephrine to induce vasoconstriction and bronchodilation
A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately
Peripheral edema the greatest risk to the client receiving mannitol IV is development of heart failure therefore the nurse should report peripheral edema to the provider immediately
A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?
Place monitoring cords and tubes in a stockinet
A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep- vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?
Platelet 96,000/mm3
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take?
Reconstitute the initial dose with 60 ml of sterile water without a bacteriostatic agent
A nurse is assessing a client whose taking Indomethacin which of the following should the nurse monitor to evaluate the medications effectiveness
Reduced pain indomethacin is a nonsteroidal anti-inflammatory medication which reduces pain and inflammation
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery for which of the following address affection of the nurse monitor
Sedation metoclopramide has multiple effects on the central nervous system including sedation fatigue restlessness headache sleeping is dystonia
A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions?
Take one tablet at onset of migraine
A nurse Is providing teaching to a client who is diagnosed with migraine headaches the client is prescribed something ergotamine sublingual which of the following should the nurse include in her instructions
Take one tablet at onset of migraine one tablet should be taken immediately after the unsent of aura or headache
A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of the following adverse affects should the nurse instruct the client to monitor and report
Tingling of fingers Hyperglycemia rather than hypoglycemia is an adverse effect of Acetazolaminde
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that they client is beginning to exhibit salicylism ?
Tinnitus
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?
Tinnitus
A Client is taking trimethoprim/ sulfamethoxazole which of the following findings should the nurse reports the provider
Vesicular, crusty rash This is a sign of Steven Johnson syndrome and adverse affect the nurse should report to the provider
Nurse is caring for a client who is starting a new prescription for warfarin which of the following medication should the nurse plan to administer if the clients experiences bleeding
Vitamin K acetylcysteine is the antidote for acetaminophen toxicity
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
dry mouth blurred vision dry eyes
A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client?
fluazenil
A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?
increase intake Monitor for muscle Dangle your legs
The nurses providing teaching to a client who takes Valporic acid for which of the following should the nurse instruct the client to monitor and report to the provider
jaundice Valporic acid Cause liver failure.
A nurse is reviewing the health history of a client who has diabetes mellitus and will being taking insulin. which of the following findings should the nurse identify as a factor that might cause the client to have difficulty safely self-administering insulin?
macular degeneration
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. for which of the following adverse effects should the nurse monitor?
sedation
A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?
"I know smoking makes ranitidine less effective."
A nurse is providing discharge instruction to a client who it so self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?
"I will store my unopened bottles of insulin in the refrigerator."
A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?
"I will taper off the medication before discontinuing it."
A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching?
"Increase you fluid intake to at least 2 liters each day while taking this medication."
A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching?
"Rinse your mouth after inhaling the beclomethasone."
A nurse is caring for n older adult client. The client received 0.9% sodium chloride 1L over 4 hr instead of over 8hr as prescribed which of the following entries is appropriate documentation of this occurrence in the clients medical record.
0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable The nurse should only chart factual information without using judgmental language in the medical record
The nurse is preparing to administer amoxicillin 250 mg PO to a school aged child, available is amoxicillin oral suspension 200 mg over 5 mL how many milliliters should the nurse administer. round to the nearest 10th
6.3 250 mg times 5 mL divided by 200 mg
A nurse is preparing to administer hydromorphone for a postoperative client which of the following indicates that the nurse should withhold the next dose of the medication
A clients respiratory rate is eight per minute The clients respiratory rate is below expected reference range there for the nurse should withhold medication
A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking to docusate sodium on a daily basis can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. itching
A. Constipation
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective? A. Decreased BP B. Increased HR C. Increased cardiac output D. Decreased serum K+
C. Increased cardiac output
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (SATA)? A. Hemoglobin 7.0 g/dl B. Creatinine 1 mg/dL C. RBC 4.7 million/mm3 D. Platelets 70,000/mm3 E. Potassium 5.2 meq/l
A. Hemoglobin 7.0 g/dl D. Platelets 70,000/mm3 E. Potassium 5.2 meq/l
A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? A. Hyperventilation B. Heartburn C. Anorexia D. Swollen ankles
A. Hyperventilation
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? A. Obtain the client's blood pressure B. Contact the client's provider C. Inform the charge nurse D. Complete an incident report
A. Obtain the client's blood pressure
A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? A. Perform a capillary blood glucose test. B. Provide the client with a protein-rich snack C. Give the client 120 mL of OJ D. Schedule an early meal tray
A. Perform a capillary blood glucose test.
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan (SATA)? A. Report muscle pain to the provider B. Avoid taking the medication with grapefruit juice C. Take the mid in the early morning D. Expect a flushing of the skin as a reaction to the med. E. Expect therapy with this medication to be lifelong
A. Report muscle pain to the provider B. Avoid taking the medication with grapefruit juice E. Expect therapy with this medication to be lifelong
A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis (SATA)? A. Rifampin B. Mirtazapine C. Temazepam D. Infliximab E. Isoniazid
A. Rifampin E. Isoniazid
A nurse is providing teaching to client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication? A. Smoked sausage B. Cottage Cheese C. Green Beans D. Apple Pie
A. Smoked sausage
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report? A. The client reports shortness of breath B. The client is also taking lisinopril C. The client's pulse rate is 60/min D. The client's WBC count is 14,000/mm3
A. The client reports shortness of breath
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? A. Tingling of fingers B. Constipation C. Weight gain D. Oliguria
A. Tingling of fingers
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution.The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first?
A. Turn the client to a side-lying position
A nurse is precepting a newly licensed new who is caring for four clients. The nurse should complete a incident report for which of the following actions by the newly licensed nurse?
Administers isosorbide mononirtrate
A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? A. TAchycardia B. Oliguria C. Hyperglycemia D. Weight gain
B. Oliguria
A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? A. Vitamin E B. Orange juice C. Milk D. Antacids
B. Orange juice
A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypoglycemia B. Orthostatic hypotension C. Bradycardia D. Xanthopsia
B. Orthostatic hypotension
A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advice the client that which of the following tests is required? A. Serum Calcium B. Pregnancy test C. 24 hr urine collection for protein D. Aspartate aminotransferase level
B. Pregnancy test
A nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. blurred vision B. Shortness of breath C. Muscle twitching D. Dry cough
B. Shortness of breath
A nurse is reviewing the medical record of a client who has schizophrenia and prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? A. Troponin B. Total cholesterol C. Creatinine D. TSH
B. Total cholesterol
A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider? A. Orange Urine B. Watery diarrhea C. Weight gain D. Headace
B. Watery diarrhea
A nurse is playing to provide medication education for client to begin a course of therapy with metronidazole which of the following should the nurse instruct the client to avoid during the course of therapy
Beer the combination of metronidazole and alcohol can cause a disulfiram like reaction that can include severe vomiting hypotension and weakness
A nurse is providing teaching for a client who has MS and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?
Blood glucose Avoid contact Grapefruit juice
Nurse is caring for a client who is candidiasis which of the following medications to the nurse expect to administer
Fluconasole Is an antifungal medication effective for treating oral pharyngeal and systemic candidiasis
A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates understanding of the teachings? A. I can apply the patch to a chest area that has hair B. I can take this med if using an erectile dysfunction product C. I will remove the patch after 14 hours. D. I need to apply a new patch to the same area every day
C. I will remove the patch after 14 hours.
A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? A. infuse 0.9% NaCl 1,000mL IV fluid bolus B. Schedule the client for an electroencephalogram C. Obtain WBC with absolute neutrophil count D. Place the client on a tyramine-free diet
C. Obtain WBC with absolute neutrophil count
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? A. Diarrhea B. Cough C. Urinary retention D. Increased libido
C. Urinary retention
A nurse is planning teaching for a child who has been prescribed fluticasone propionate for chronic asthma the nurse plans to teach the child to use a spacer to minimize the risk for which of the following
Candidiasis of the mouth Side effects of inhaled corticosteroids include dysphonia and oral candidiasis using a spacer and rinsing the mouth after inhalation will minimize the amount of medication remaining in the oropharynx preventing the development of the side effects
A nurse is assessing a client who is taking oral contraceptives which of the following medications will interfere with the effectiveness of oral contraceptives
Carbamazepine causes accelerated inactivation of oral contraceptives There are no medication interactions between oral contraceptives and lorazepam.
A nurse is teaching a client who is to start a new prescription for verapamil. Which of the following instructions should the nurse plan to include
Change positions slowly Verapamil is given to treat cardiac dysrhythmias, which may cause palpitations. Discontinuing the medication abruptly may cause complications. Instead the client should report this finding to the provider, who may decide to lower or discontinue the medication on a tapered dose. Can also cause orthostatic hypo. And dizz.
A nurse Is caring for a client who has just been transferred from the PACU to the medical-surgical unit following colon resection the client reports pain of an eight on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every two hours which of the following actions should the nurse take first
Check the clients PAC you medication record first administering morphine sulfate is an appropriate action but is not the first action the nurse should take you need to know your client
A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer the nurse informed the client that which of the following side effects can develop select all that apply
Menstrual irregularities hot flashes bruising Tamoxifen is an anti-estrogen medication
Nurses planning to teach a client about taking methotrexate for which of the following should the nurse instruct the client to monitor and report to the provider
Fever methotrexate an immunosuppressant can cause bone marrow suppression the nurse should advise the client to muncher any poor indications of infection such as fever or sore throat
A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? A. Take the med on an empty stomach B. Avoid crowds C. Discontinue the med if palpitations occur D. Change positions slowly
D. Change positions slowly
A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? A. Acetaminophen B. Ipratropium C. Benzonatate D. Doxycycline
D. Doxycycline
A nurse is providing teaching to a client who is starting to take lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? A. Hair loss B. Ringing in the ears C. Facial Flushing D. Dry cough
D. Dry cough
A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? A. Tachycardia B. Oliguria C. Xerostomia D. Miosis
D. Miosis
A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should the nurse include? A. Limit continuous use to 7-10 wks B. Schedule doses for early morning before breakfast C. Expect that it will take 4 nights before benefits are noticed D. Plan to withdraw from the medication gradually
D. Plan to withdraw from the medication gradually
A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? A. Chew on the med stick to release the med B. Leave the med stick in one location of the mouth until melted C. Allow the med. 1 hr for analgesia effects to begin D. Store unused medication sticks in a storage container
D. Store unused medication sticks in a storage container
A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome?
Decrease in flexor and extensor spasticity
A nurse is administering baclofen for a client who has a spinal cord injury which of the following should the nurse document as a therapeutic outcome
Decrease in flexor and extensor spasticity baclofen decreases the frequency and severity of muscle spasm's allowing for improved muscle function
A nurse is monitoring clients receiving an IV infusion of magnesium sulfate for preterm labor which of the following findings indicate to the nurse that the client is experiencing magnesium toxicity
Decreased level of consciousness magnesium toxicity results in central nervous system depression
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching?
Decreased respirations might occur
A nurse is caring for a client has heart failure and is discharged with a prescription for furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects for this medication select all that apply
Dizziness: The diuretic action of furosemide can result in A significant drop in blood pressure causing lightheadedness and dizziness hypokalemia: diuretic action of furosemide promotes the excretion of potassium increasing the clients risk for hypokalemia urinary frequency: The diuretic action of furosemide result in urinary frequency
And nurses providing teaching about insulin glargine to a client who has type one diabetes mellitus which of the following should the nurse include in the instructions
Do not mix this medication in a syringe with other insulins insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour period which reduces the risk of hypoglycemia
A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching?
Docusate sodium reduces the surface tension of the stools to change their consistency
A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told her provider which of the following medication orders should the nurse question
Doxycycline pregnancy is a contraindication for doxycycline, a tetracycline antibiotic, due to the medications adverse affects on developing bones and teeth
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?
Dry mouth
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply)
Dry mouth blurred vision photophobia Oxybutynin is an anti-cholinergic agents that can cause dry mouth Oxybutynin is an anticholinergic agents that can cause blurred vision Oxybutynin is an anti-cholinergic agent that can cause photophobia
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately
Dyspnea Using ABC priority setting framework, the greatest risk to the client is dyspnea as a result of bronchoconstriction caused by elevated acetylcholine levels in the lungs.
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes that the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first?
Epinephrine
A nurse is caring for a client to the emergency department following a diazepam overdose the nurse should administer which of the following medications
Flumazenil Is the reversal agent for benzodiazepine toxicity
A nurse is teaching about neural tube defects to a client who is planing a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant?
Folic Acid
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which f the following actions of sucralfate should the nurse include in the teaching?
Forms a protective barrier over ulcers
Nurses providing teaching to a client with peptic ulcer disease and is to start a new prescription for sucralfate theaters explain to the client with medication
Forms a protective barrier over ulcers Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creating a barrier to hydrochloric acid
A nurse is caring for a client who is receiving cefazolin IV. the nurse should identify that which of the following medications can potentiate nephrotoxicity if administered of administered concurrently?
Gentamicin
A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?
Hyperkalemia
A nurse in a providers office is assessing a client who has been taking aspirin daily for the past year. Which findings should nurse notify the provider immediately?
Hyperventilation. Which indicates that patient may have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.
A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching
I should let my dentist know I'm taking this medication The client should NOT take phenytoin with milk or other calcium-containing foods because phenytoin can decrease the absorption of calcium and vitamin D
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?
I should sit up for 30 minutes after taking the risedronate
A nurse is providing teaching to a client who had depression and has a new prescription for fluoxetine. Which of the following statements by the client indicated an understanding of the teaching?
I should take acetaminophen instead of ibuprofen for my headaches while taking this medication
A nurses providing teaching to a client who has depression and is prescribed fluoxetine which of the following statements indicates to the nurse and the client understands the teaching
I should take acetaminophen instead of ibuprofen for my headaches while taking this medication You do not need a tyramine restriction for this kind of medication
A nurse is providing discharge instructions to a client who has heart failure and new prescription for captopril. which of the following client statements indicated an understanding of the teaching?
I should tell my provider if I develop a sore throat
A nurse is assisting a client who is taking salmenterol. which of the following reports from the client indicates effectiveness of this medication
Improved breathing Improved mood just not indicate effectiveness of salmenterol
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?
Increase in ability to focus
A nurse is assessing a client who is taking propylthiouracil for treatment of. Graves' disease which of the following findings indicate the fact of this of this medication
Increase in ability to focus a client who has Graves' disease has difficulty focusing and increased ability to focus indicates effectiveness of the medication
A nurse is assessing a client who is receiving epoetin alpha to treat anemia for which of the following findings should the nurse monitor related to this medication
Increased blood pressure
A nurse is assessing a client who has myasthenia gravis and is taking neostigmine which of the following findings should alert the nurse that the client is experiencing an adverse reaction
Nausea Neostigmine is more likely to cause bradycardia than tachycardia
A nurse is providing follow-up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril?
Persistent cough
A nurse is assessing laboratory results for client to use prescribe oprelvekin for management of adverse effects of chemotherapy which of the following findings by the nurse indicates a therapeutic effect of the medication
Platelet count is 350,000 mm oprelvekin is a thrombopoietic Factor in there for a platelet count within the expected reference range indicates the medication is effective
A client is receiving a heparin infusion for deep vein thrombosis the nurse should discontinue the medication infusion for which of the following client findings
Platelets 96,000 per millimeter cube A platelet count less than 100,000 mm cube while receiving heparin may indicate heparin-induced thrombocytopenia this would require stopping in fusion
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?
Prevent delirium tremens
A nurse is caring for a client is experiencing acute alcohol withdrawal for which of the following is a client prescribed chlordiazepoxide
Prevent delirium tremens the client should take chlordiazepoxide to prevent delirium tremens for client experiencing acute alcohol withdrawal A treatment of the benzodiazepine group used to treat anxiety and alcohol withdrawal
Nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticaria which of the following intervention should the nurse take
Request a change in the type of antibiotic
A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take?
Request a change in the type of the antibiotic
A nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports uticaria. Which of the following interventions should nurse take?
Request a change in type of antibiotics.
A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient- controlled analgesia for pain. Which of the following assessments is the nurse's priority?
Respiratory rate
A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?
Sexual dysfunction
At 0900 a nurse is preparing the clients medications based on the chart findings which of the following medications should the nurse administer first
Sodium polystyrene sulfate You do not need to give pain medication first if the patient's pain is only moderate
A nurse is caring for a client who is to start therapy with benztropine for which of the following findings should the nurse monitor
Tachycardia benztropine is an anti-cholinergic agent, can develop tachycardia due to parasympathetic blockade of the heart.
A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family?
Take a stool softener on a daily basis
And nurses providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress which of the following should the nurse include in the teaching
Take the medication with applesauce to reduce gastrointestinal distress the client should take the medication with food such as applesauce
A nurses providing teaching to a client regarding the administration of Ferrous sulfate which of the following instruction should the nurse include in the teaching
Take the tablet on an empty stomach black stools are a common and harmless side effect of oral iron administration
A nurse is providing teaching to a client regarding the administration of FERROUS SULFATE. which of the follwoing instructions should the nurse include in the teaching?
Take the tablet on an empty stomach.
A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective?
The client has a decrease in blood pressure
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective?
The client rates the pain at a 3 on a scale from 0 to 10
A nurse administers ceftazidime to a client who has severe penicillin allergy which of the following client findings requires an incident report
The client reports shortness of breath Severe penicillin allergy is a contraindication for ceftazidime, a cephalosporin antibiotic, due to the potential for cross sensitivity shortness of breath can indicate the development of anaphylaxis
A nurse administers ceftazidime to a client who has a sever penicillin allergy. Which of the following requires and incident report
The client reports shortness of breath Severe penicillin allergy is a contraindication for ceftazidime, a cephalosporin antibiotic, due to the potential for cross sensitivity. Shortness of breath can indicate anaphylaxis
A nurse has administered 2 doses of bethamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following?
The newborn has normal respiratory patterns
A client is just diagnosed with tuberculosis and is prescribed a for medication regimen of isoniazid , pyrainamide, rifampin, and ethambutol
This regimen will eliminate various combinations of resistant strains of TB The risk of undesired effects increases with multi medication therapy
A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily after six weeks of treatment the nurse determines that the medication was effective if the
Thyroid stimulating hormone level is 2 microunits/milliliter Measuring TSH is the most sensitive method for determining thyroid activity a TSH level 2 micro units per milliliter indicates appropriate thyroid activity
Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects
Urinary retention morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients ability to perceive bladder fullness resulting in urinary retention
A nurse is providing teaching about clindamycin to a client which of the following is an adverse effects of this medication that the nurse should instruct the client to report to the provider
Watery diarrhea An adverse effect of clincamycin because it can cause clostridium defficile associated diarrhea which manifests as watery diarrhea without treatment this adverse affects can be fatal
A nurse is preparing to administer a new prescription of amoxicillin/ clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?
Withhold the medication
A nurse is teaching a client who has TB about the adverse effects of isoniazide. The nurse should instruct the client to report to the provider which of the following findings as an adverse effect of the medication?
Yellow skin tones
A nurses providing teaching to a client who is to start therapy with digoxin which of the following should the nurse instruct the client to monitor and report
Yellow tinged vision The nurse should instruct the client to monitor for and report yellow tinged vision which is a sign of digoxin toxicity and should be reported to the provider
A nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Yellow- tinged vision
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include?
report yellowing of the skin
