practice questions for pharm test #5

a nurse is planning discharge for a female client who has a new prescription for trimethoprim-sulfamethoxazole. which of the following information should the nurse include? a. take the medication even if pregnant b. maintain a fluid restriction while taking it c. take on an empty stomach d. stop taking it when manifestations subside

take it on an empty stomach

a nurse is planning discharge teaching for a female client who has a new prescription for trimethoprim-sulfamethoxazole. which of the following information should the nurse include? a. take the medication even if pregnant b. maintain a fluid restriction while taking it c. take the medication on an empty stomach if tolerated d. stop taking it when manifestations subside

take the medication on an empty stomach if tolerated

a nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowl syndrome with diarrhea (IBS-D) lasting 3 months. which of the following information should the nurse provide the client about alosetron?

the drug is prescribed to female clients who have IBS-D lasting more than 6 months

a nurse is caring for a client who received prochlorperazine 4 hr ago. the client reports spasms of the face. the nurse should expect a prescription for which of the following medications? a. fomepizole b. naloxone c. phytonadione d. diphenhydramine

diphenhydramine

a nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. which of the following statements should the nurse plan to include?

"avoid driving or activities requiring alertness."

a nurse is teaching a client who has a new prescription for sulfasalazine. which of the following statements should the nurse make?

"use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

which of the following symptoms would make a nurse question that a patient may be suffering from a super infection?

-diarrhea -fever -vaginal discharge -stomatitis

a nurse is planning to administer ondansetron to a client. for which of the following adverse effects of ondansetron should the nurse monitor? a. headache b. diarrhea c. shortened PR interval d. hyperglycemia e. prolonged QT interval

-headache -diarrhea -prolonged QT interval

a nurse is reviewing a client's medication history notes an allergy to sulfonamides. this allergy is a contraindication for taking which of the following medications? a. hydroclorothiazide b. metoprolol c. acetaminophen d. glipizide e. furosemide

-hydroclorothiazide -glipizide -furosemide

a nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. which of the following actions should the nurse plan to take?

-infuse the drug 30 min prior to chemotherapy -infuse the drug slowly over 15 min -repeat the dose 4 hr after chemotherapy

a nurse is teaching a client who has a new prescription for nitrofurantoin. which of the following information should the nurse include? (select all that apply) a. observe for bruising on the skin b. take the medication w/ milk or meals c. expect brown discoloration of urine d. crush the medication if it is difficult to swallow e. expect insomnia when taking

-observe for bruising on the skin -take the medication w/ milk or meals -expect brown discoloration of urine

a nurse is teaching a client who has a new prescription for nitrofurantoin. which of the following information should the nurse include? a. observe for bruising on the skin b. take the medication with milk or meals c. expect brown discoloration of urine d. crush the medication if it is difficult to swallow e. expect insomnia when taking it

-observe for bruising on the skin -take the medication with milk or meals -expect brown discoloration of urine

a nurse is teaching a client who has severe UTI about ciprofloxacin. which of the following information about adverse reactions should the nurse include? a. observe for pain and swelling of the achilles tendon b. watch for vaginal yeast infection c. expect excessive nighttime perspiration d. inspect the mouth for cottage cheese-like lesions e. take the medication with a dairy product

-observe for pain and swelling of the achilles tendon -watch for vaginal yeast infection -inspect the mouth for cottage cheese-like lesions

a nurse is teaching a client about probiotic supplements. which of the following information should the nurse include? a. probiotics are micro-organisms that are normally found in the GI tract b. probiotics are used to treat c. diff c. probiotics are used to treat BPH d. you can experience bloating while taking probiotic supplements e. if you are prescribed an antibiotic you should take it at the same time you take your probiotic supplement

-probiotics are micro-organisms that are normally found in the GI tract -probiotics are used to treat c. diff -you can experience bloating while taking probiotic supplements

a nurse is administering sulfasalazine to a client. which of the following data should the nurse collect to help identify as an adverse drug reaction?

-skin integrity -temperature -CBC

a nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. which of the following instructions should the nurse include?

-take the drug 30-60 min before activities that trigger nausea -avoid activities that require alertness -increase fluid and fiber intake

a nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. which of the following instructions should the nurse include?

-take the drug with at least 8 ox of fluid -increase fluid and fiber intake

a client is to receive chemotherapy treatments today. the primary care provider has ordered ondansetron 0.15 mg/kg IV to be administered 30 minutes before the treatment begins. the client weighs 123 lbs. how much of the ondansetron will the client receive?

8.4 mg

which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug?

Alosetron

a PDE-5 inhibitor should not be taken with what medication due to risk of severe hypotension?

Isosorbide

a nurse is reviewing the medical record of a client who has a new prescription for famotidine. the nurse should recognize that which of the following drug interacts with famotidine?

Ketoconazole

when talking with a patient about taking lubiprostone, the HCP should tell the patient not to take the drug if he has which of the following?

diarrhea

a nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

a positive pregnancy test

a nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. the nurse should instruct the client to report whihc of the following adverse effects of the drug?

abdominal pain

a nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. for which of the following reasons should the nurse clarify these prescriptions with the provider?

allopurinol delays the conversion of azathioprine and can lead to toxicity

a nurse is caring for a client who has peptic ulcer disease. the nurse should monitor the client's phosphorus levels when administering which of the following drugs?

aluminum hydroxide

a nurse is caring for a client who has a new prescription for famotidine to treat GERD. the nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over-the-counter-drugs?

antacids

a nurse should recognize that sulfasalazine is contraindicated for clients who have the following conditions?

aspirin sensitivity

a nurse is providing teaching to a client who has a new prescription for loperamide. which of the following instructions should the nurse include?

avoid activities that require alertness

which urinary retention medication can cause extreme muscarinic stimulation?

bethanechol

a nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. the nurse should withhold which of the following medications?

bisacodyl

a nurse is admitting a new patient who presents with nausea, vomiting, and unsteadiness. the patient is diagnoses with vertigo/motion sickness. which medication does the nurse anticipate the doctor will order?

dimenhydrinate

children or teens should not take this medication due to risk of achilles tendon rupture?

ciprofloxacin

the primary care provider has instructed the client to start taking psyllium every day. what should the nurse include when providing information to the client about this medication?

dissolve the medication in 8oz of water or juice and drink it immediately

a nurse is assessing a client who was administered ondansetron IV 1hr ago. which of the following findings should the nurse recognize as an adverse effect of this drug?

dizziness

a nurse is teaching a client who has a new prescription for methotrexate. the nurse should instruct the client to monitor for manifestations of which of the following conditions?

gout

a nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

inflammatory bowel disease

a nurse is planning to administer ciprofloxacin IV to a client who has cystitis. which of the following actions should the nurse take? a. administer a concentrated solution b. infused the medication over 60 min c. infuse the solution through the primary IV fluid's tubing d. choose a small peripheral vein for administration

infuse the medication over 60 min

a nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. the nurse should instruct the client to report which of the following manifestations?

lethargy

a nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. the nurse should expect a prescription for which of the following medications? a. lubiprostone b. meoclopramide c. bisacodyl d. loperamide

metoclopramide

a nurse is caring for a client who is taking lubiprostone. the nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

nausea

what medication can cause urine discoloration of rust yellow - brown color?

nitrofurantoin

a. nurse is caring for a client who has a prescription for alosetron. the nurse should recognize that alosetron therapy is effective when the client reports which of the following?

one formed stool per day

a nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. the nurse should inform the client that docusate sodium has which of the following therapeutic effects?

prevents straining

a nurse is providing instructions about the use of laxatives to a client who has heart failure. the nurse should tell the client to avoid which of the following laxatives? a. sodium phosphate b. psyllium c. bisacodyl d. polyethylene glycol

sodium phosphate

a nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. the nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons?

sucralfate interferes with the absorption of phenytoin

a nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. which of the following instructions should the nurse include?

swallow the capsule whole