Pharmacology (General) 1

A nurse is reinforcing teaching with a female client about vitamin A supplementation. Which of the following client statements indicates an understanding of the teaching?

"A deficiency of vitamin A can cause night blindness."

A nurse is reinforcing teaching with a client who has a seizure disorder and a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching?

"This medication will decrease the effectiveness of oral contraceptives."

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include?

"You should change positions slowly while taking this medication."

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication?

Asthma

A nurse is assisting with the care of a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication?

Bleeding

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administration of this medication?

Blood pressure

A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first?

Check the client's apical pulse

A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client to report which of the following manifestations to the provider?

Chest pain

A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first?

Chlordiazepoxide

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication?

Deep-vein thrombosis

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication?

Diabetes insipidus

A nurse is reinforcing discharge teaching with a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the client's daily intake of fiber?

Dietary fiber helps prevent constipation.

A nurse is collecting data preoperatively from a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements?

Garlic

A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asks the infant's guardian if the infant has any allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine?

Gelatin

A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention?

Heart rate 106/min

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?

INR 3.0

A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

Osteoporosis

A nurse is preparing to administer metoclopramide to a client who has GERD. For which of the following manifestations should the nurse monitor as an adverse effect of the medication?

Tardive dyskinesia

A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take?

Tell the parent that this reaction should only last for a couple of days

A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis?

Temperature

A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following physiological effects of pregnancy should the nurse take into consideration?

Accelerated excretion of fluids

A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take?

Administer the medication into the client's abdomen

A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication?

Anorexia and weakness

A nurse is reinforcing teaching with a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Arthralgia

A nurse is preparing to administer medications to a group of clients. Which of the following actions should the nurse take to verify the right medication is administered?

Compare the provider's initial prescription with the medication administration record (MAR)

A nurse is collecting data from a client who has taken methimazole for a thyroid disorder over the past month. Which of the following findings demonstrates an expected response to methimazole?

Decreased body temperature

A nurse is reviewing the laboratory results for a client who is receiving allopurinol. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Decreased urinary uric acid levels

A nurse is collecting data from a client who is taking varenicline for smoking cessation. Which of the following findings is nurse's priority?

Erratic behavior

A nurse is reviewing the medication administration record of a client who has a new prescription for levothyroxine. Which of the following medications should the nurse identify as needing to be administered 4 hours after levothyroxine administration?

Ferrous sulfate

A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following prescriptions should the nurse expect?

Finasteride

A nurse in a provider's office is collecting data from a client who reports dysmenorrhea. Which of the following over-the-counter prescriptions should the nurse expect the provider to suggest?

Naproxen

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. Which of the following adverse effects can occur with the abrupt withdrawal of phenytoin?

Status epilepticus

A nurse is collecting data from a client who has been on long-term inhaled glucocorticoid therapy with fluticasone for the control of asthma. Which of the following questions should the nurse ask the client to determine adverse effects of the medication?

"Have you experienced any bone fractures?"

A nurse is reinforcing teaching with a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I should apply this patch behind my ear."

A nurse is reinforcing teaching with a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

"I should check the labels of my skin-care products, medications, and foods for alcohol."

A nurse is reinforcing teaching with a client who has a new ezetimibe prescription for hyperlipidemia. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should let my doctor know if I have yellowing of my eyes."

A nurse is reinforcing teaching with a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the client understands the instructions?

"I should stay away from people who are ill."

A nurse is reinforcing medication teaching with a client who has a new prescription for rivaroxaban for the prevention of deep venous thrombosis (DVT). Which of the following statements by the client indicates an understanding of the teachin

"I will be sure to take this medication at the same time every day."

A nurse is reinforcing discharge teaching with a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat fruits and vegetables that have a high potassium content every day."

A nurse is reinforcing teaching with a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective?

"I will need laboratory tests to check my liver function."

A nurse is reinforcing teaching about the adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching?

"If I overuse this medication, I might become addicted to it."

A nurse is collecting data from an infant during a routine checkup. The parent asks the nurse about the infant's immunization schedule. Which of the following responses should the nurse make?

"It is recommended that your infant receives 6 immunizations at 2 months of age."

A nurse is reinforcing teaching with a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide?

"Mix this medication with water and follow with an additional glass of liquid."

A nurse is reinforcing teaching with a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?

"Physical dependence is not the same as addiction."

A nurse is reinforcing teaching about benzodiazepines with a client who is discontinuing long-term use of alprazolam. Which of the following pieces of information should the nurse include in the teaching?

"Plan to taper the dose slowly over several months."

A nurse is administering the first dose of sucralfate to a client. Which of the following explanations should the nurse provide about the action of sucralfate?

"Sucralfate forms a gel-like substance that protects ulcers."

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

"Take hydrochlorothiazide in the morning."

A nurse is reinforcing teaching with a client who has a new prescription for human chorionic gonadotropin (HCG) to treat infertility. Which of the following statements should the nurse make?

"This hormone is extracted from the urine of women who are pregnant."

A nurse is reviewing new medication prescriptions for 4 clients. Which of the following prescriptions should the nurse verify with the provider? - Pancrelipase 500 units/kg/meal PO tid, give immediately before meals - Metoprolol 50 mg PO daily, hold for heart rate <50/min - Ranitidine 300 mg PO, on call from surgery - Enoxaparin 30 mg subQ 2 times daily

- Ranitidine 300 mg PO, on call from surgery

A nurse is reinforcing teaching with the parents of a school-aged child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack?

Albuterol

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

Albuterol sulfate

A nurse has administered a medication to a client. Which of the following circumstances should the nurse identify as a medication error that resulted from a performance deficit by the nurse?

An intramuscular injection was given instead of a subcutaneous injection.

A nurse is caring for a client who reports diarrhea and abdominal cramps. The client tells the nurse, "I take a variety of vitamin supplements." The nurse should identify the client's manifestations as potential adverse effects of which of the following vitamin supplements?

Ascorbic acid

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications?

Chlordiazepoxide

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following pieces of information from the client's medical record should the nurse identify as a risk factor for hearing loss?

Chronic use of salicylates

A nurse is reinforcing teaching with a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives?

Deep-vein thrombosis

(3) A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of the medication?

Dizziness Palpitations Peripheral edema

A nurse is collecting data on a client who has developed hypertension that is unresponsive to lifestyle changes. The client has no other comorbidities. Which of the following medications should the nurse expect the provider to prescribe first?

Hydrochlorothiazide

A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity?

Hypercalcemia

A nurse is reinforcing teaching with a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha?

Hypertension

A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors in the client's medical history should the nurse identify as a contraindication to receiving sumatriptan?

Ischemic heart disease

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membranes?

Lipid solubility

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?

Migraine headaches

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?

Naproxen

A nurse is performing a reconciliation of a client's medications. Which of the following actions should the nurse take first?

Obtain a list of the client's current medications, including those that are over-the-counter

A nurse is assisting with preparing IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take?

Obtain an infusion pump for the RN to regulate the rate of infusion

A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse reinforce in the teaching?

Plan to use a type of short-duration insulin in the infusion pump

A nurse is assigned to care for several clients who are postoperative. The nurse should identify that the client taking which of the following medications is at risk for delayed wound healing?

Prednisone to treat persistent arthritis exacerbations

A nurse is collecting data from a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse expect the provider to prescribe?

Pregabalin

A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications?

Propylthiouracil

A nurse is reinforcing teaching with the parents of a child who has a new prescription of lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider?

Rash

A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following findings as an adverse effect of rifampin?

Red-tinged urine

A nurse is preparing to administer an initial dose of etanercept for a client who has rheumatoid arthritis. For which of the following manifestations should the nurse monitor as a potential adverse effect of the medication?

Rhinitis

The nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. Which of the following findings should indicate that the client is experiencing an adverse effect?

Spotting between menses cycles

A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client?

Stop taking the herbal supplement while taking the medication

A nurse in a provider's office is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate sodium. Which of the following pieces of information should the nurse provide?

Take alendronate sodium with a full glass of water on an empty stomach.

A nurse is reinforcing teaching with the partner of a client who has moderate Alzheimer's disease about a new prescription for a rivastigmine transdermal patch. Which of the following information should the nurse provide?

The old patch should be removed before a new patch is applied.

A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity?

Visual disturbances

A nurse is caring for a client who asks about taking orlistat for weight loss. The nurse should inform the client that this medication can intensify the effects of which of the following medications or supplements?

Warfarin

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times?

Within 3 months of the initial diagnosis