Review Questions Pharmacology Exam 2
The nurse is applying a topical corticosteroid to a client with eczema. The nurse should apply the medication to which body area? Select all that apply. a. back b. axilla c. eyelids d. soles of the feet e. palms of the hands
a, d, e back, soles of the feet, and palms of the hands
Ketoconazole is prescribed for an assigned client. The nurse prepares to administer the medication by which method? a. with food b. with an antacid c. with 8 oz of water d. on an empty stomach
a. with food
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse understands that side and adverse effects associated with this medication include which findings? Select all that apply. a. fatigue b. diarrhea c. pancreatitis d. lactic acidosis e. peripheral neuropathy
b, c, d, e diarrhea, pancreatitis, lactic acidosis, peripheral neuropathy
A child is diagnosed with impetigo. The primary health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed? a. cortisone b. acyclovir c. mupirocin d. benzoyl peroxide
c. mupirocin
A client with human immunodeficiency virus infection is taking indinavir. The nurse plans to provide the client with which direction when providing instructions about the use of this medication? a. Store the medication in the refrigerator. b.Take the medication with a high-fat snack. c.Take the medication with the large meal of the day. d.Take the medication with water on an empty stomach.
d.Take the medication with water on an empty stomach.
The nurse is applying a topical glucocorticoid as prescribed for a client with psoriasis. The nurse would be concerned about the potential for systemic absorption of the medication if it were being applied in which situation? a. Applied for 2 days until the irritation has resolved 2.Applied to a small area on the arm underneath a gauze dressing 3.Applied to a reddened, itchy area underneath an occlusive dressing 4.Applied to a small area on the neck and another small area on the back
3.Applied to a reddened, itchy area underneath an occlusive dressing
Which clients can safely receive lindane? Select all that apply. a. an 89-year-old client with dementia b. a 32-year-old client with renal stones c. a 6-year-old child with a fractured arm d. a 42-year-old woman with osteoporosis e. a 52-year-old man with hypertension and high cholesterol
a, b, d, e an 89-year-old client with dementia, a 32-year-old client with renal stones, a 42-year-old woman with osteoporosis, a 52-year-old man with hypertension and high cholesterol
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication? a. tinnitus b. diarrhea c. constipation d. decreased respirations
a. tinnitus
A client with chronic glaucoma is being started on medication therapy with acetazolamide. The nurse teaches the client that which can occur early with the use of this medication? a. fatigue b. diuresis c. headache d. loss of libido
b. diuresis
A client with severe acne is seen in the clinic and the primary health care provider (PHCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the PHCP if the client is also taking which medication? a. digoxin b. phenytoin c. vitamin A d. furosemide
c. vitamin A
Zidovudine has been prescribed for a client. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication? a. Urea nitrogen level b.Magnesium and calcium levels c.Complete blood cell (CBC) count d.Sedimentation rate and prothrombin time
c.Complete blood cell (CBC) count
The client with acquired immunodeficiency syndrome (AIDS) has been prescribed raltegravir. The nurse determines that the client may be experiencing an adverse effect related to this medication if which assessment finding is noted? a. insomnia b. dizziness c. indigestion and belching d. temperature of 101.2 F(38.4 C)
d. temperature of 101.2 F(38.4 C)
The nurse is applying a topical corticosteroid to a client with eczema. The nurse understands that it is safe to apply the medication to which body areas? Select all that apply. a. back b. axilla c. eyelids d. soles of the feet e. palms of the hands
a, d, e back, soles of the feet, palms of the hands
Betaxolol eye drops have been prescribed for a client with glaucoma. The nurse monitoring this client for side/adverse effects of the medication would place highest priority on which assessment? a. pulse rate b. blood glucose c. respiratory rate d. oxygen saturation
a. pulse rate
Ribavirin is prescribed for a hospitalized child with severe respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route? a. oral b. oxygen tent c. intramuscular d. subcutaneous
b. oxygen tent
A child with human immunodeficiency virus (HIV) infection is receiving zidovudine. Which finding indicates to the nurse that the child may be experiencing an adverse effect from the medication? a. the child complains of pain in his lower legs b. the child's skin in pale and he is feeling tired c. the child has some swelling in the hands and around the ankles. d. the child clinging to his parents and wont allow them to leave
b. the child's skin is pal and he is feeling tired
A client with a respiratory tract infection is receiving intravenous tobramycin sulfate. The nurse should assess for which adverse effect of this medication? a. nausea b. vertigo c. vomiting d. hypotension
b. vertigo
A client with a urinary tract infection (UTI) has been prescribed ciprofloxacin. The nurse notes that the client also has a prescription for theophylline written by a pulmonologist. Based on this information, the nurse should take which action? a. Encourage intake of antacids. b.Clarify the medication prescriptions. c.Schedule the doses to be given together. d.Schedule the doses to be given at the same time.
b.Clarify the medication prescriptions.
The nurse is caring for a client who has been taking a sulfonamide and should monitor for signs and symptoms of which adverse effects of the medication? Select all that apply. a. Ototoxicity b.Palpitations c.Nephrotoxicity d.Bone marrow suppression e.Gastrointestinal (GI) effects f.Increased white blood cell (WBC) count
c, d, e nephrotoxicity, bone marrow suppression, gastrointestinal (GI) effects
The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed, and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions? a. I must take the medication exactly as prescribed." b."Once I start the medication, I will no longer be contagious." c."I will not get any colds or infections while taking this medication." d."This medication has minimal side effects, and I can return to normal activities."
a. "I must take the medication exactly as prescribed."
The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions? a. "I must take the medication exactly as prescribed." b."Once I start the medication, I will no longer be contagious." c."I will not get any colds or infections while taking this medication." d."This medication has minimal side effects and I can return to normal activities."
a. "I must take the medication exactly as prescribed."
Quinupristin-dalfopristin is prescribed as an intermittent intravenous (IV) infusion. The nurse should adjust the drip rate so that the dose is administered over what period of time? a. 1 hour b. 4 hours c. 15 minutes d. 30 minutes
a. 1 hour
A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV) infection. After reconstituting the powder dispensed by the pharmacy, the nurse should administer this medication via which method? a. Slow IV infusion over 1 hour b.Rapid IV bolus over 5 minutes c.Continuous IV infusion over 24 hours d.Continuous IV infusion over 12 hours
a. Slow IV infusion over 1 hour
Pyrimethamine has been added to the medication regimen for a client with acquired immunodeficiency syndrome. On review of the client's record, the nurse notes this new prescription and plans care knowing that it has been prescribed to treat which condition? a. Toxoplasmosis b.Kaposi's sarcoma c.Cardiac irregularities d.Nausea and vomiting
a. Toxoplasmosis
A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? a. hyperventilation b. elevated blood pressure c. local rash at the burn site d. local pain at the burn site
a. hyperventilation
A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? a. hyperventilation b. elevated blood pressure c. local rash at the burn site d. local pain at the burn site
a. hyperventilation
Levofloxacin is prescribed for a client. While teaching the client about the medication, what should the nurse tell the client to take the medication with? a. water b. an antacid c. a zinc preparation d. an iron supplement
a. water
The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? Select all that apply. a. seizures b. ototoxicity c. renal toxicity d. dysrhythmias e. heptatoxicityb,
b, c, d ototoxicity, renal toxicity, and dysrhythmias
A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse expects the primary health care provider (PHCP) to initiate zidovudine at how many weeks of gestation? a. 4 b. 14 c. 24 d. 34
b. 14
A client is receiving zalcitabine. The nurse should monitor the results of which study to determine the effectiveness of this medication? a. western blot b. CD4+ cell count c. enzyme-linked immunosorbent assay (ELISA) d. complete blood cell (CBC) count with differential
b. CD4+ cell count
The nurse is monitoring a client receiving muromonab-CD3. Which finding is a priority assessment required in monitoring for adverse effects of this medication? a. assessing pedal pulses b. assessing lung sounds c. assessing for pain in the calf d. assessing for positive bowel sounds
b. assessing lung sounds
The nurse would question the primary health care provider if which medication were prescribed for a client with glaucoma? a. carbachol b. atropine sulfate c. pilocarpine nitrate d. pilocarpine hydrochloride
b. atropine sulfate
A client has been prescribed betaxolol eye drops for the treatment of glaucoma. The ambulatory care nurse determines that the client understands proper medication use if the client states the need to return to the office for monitoring of what item(s)? a. hearing acuity b. blood pressure c. blood glucose level d. presence of calf pain
b. blood pressure
An aminoglycoside, given by intermittent intravenous infusion, is prescribed for a client with an infection. Which finding would indicate to the nurse that the client is experiencing an adverse effect of the medication? a. bradycardia b. difficulty hearing c. increased appetite d. weakness and drowsiness
b. difficulty hearing
A child with severe seborrheic dermatitis is receiving treatments of topical corticosteroid applied over an extensive area of the body, followed by the application of an occlusive dressing. The nurse should monitor the child closely, knowing that which systemic effect can occur as a result of this treatment? a. local infection b. growth retardation c. thinning of the skin d. adrenal hyperactivity
b. growth retardation
A home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse determines the effectiveness of the medication by noting a decrease in which problem? a. pain b. rash c. fever d. sneezing
b. rash
Collagenase is prescribed for a client with a severe burn to the hand. The home care nurse provides instructions to the client regarding the use of the medication. Which client statement indicates an accurate understanding of the use of this medication? a. "I will apply the ointment at bedtime and in the morning." b."I will apply the ointment once a day and leave it open to the air." c."I will apply the ointment twice a day and leave it open to the air." d."I will apply the ointment once a day and cover it with a sterile dressing."
d."I will apply the ointment once a day and cover it with a sterile dressing."
Tretinoin is prescribed for a client with acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction? a. "I need to avoid exposure to the sun." b."I should start to see results in 2 to 3 weeks." c."I will cleanse the skin thoroughly before applying the medication." d."If my skin begins to peel, I will notify the primary health care provider (PHCP)."
d."If my skin begins to peel, I will notify the primary health care provider (PHCP)."
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times? a. mmediately before swimming b.5 minutes before exposure to the sun c.Immediately before exposure to the sun d.At least 30 minutes before exposure to the sun
d.At least 30 minutes before exposure to the sun
The nurse is performing an admission assessment on a client who has a history of glaucoma and uses latanoprost eye drops. Which assessment finding would indicate a side/adverse effect of these eye drops? a. Irregular pulse b.Periorbital edema c.Elevated blood pressure d.Brown pigmentation of the iris
d.Brown pigmentation of the iris
A topical corticosteroid is prescribed for an infant with dermatitis in the gluteal area. The nurse provides instructions to the mother regarding the use of the medication. Which statement by the mother indicates an understanding of the use of the medication? a. "I should not rub the medication into the skin." b."The medication will help relieve the inflammation." c."I need to apply the medication in a thick layer to protect the skin." d."I should protect the area by covering it with a diaper and plastic pants."
b."The medication will help relieve the inflammation."
A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment? a. Monitoring the leukocyte count for 2 days after the infusion b.Checking the frequency and consistency of bowel movements c.Checking serum liver enzyme levels before and after the infusion d.Carrying out a Hematest on gastric fluids after the infusion is completed
b.Checking the frequency and consistency of bowel movements
Tobramycin sulfate is prescribed. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate its presence? a. Client complaint of diarrhea b.Client complaint of ringing in the ears c.A white blood cell count of 6000 mm3 (6 × 109/L) d.A blood urea nitrogen (BUN) of 10 mg/dL (3.6 mmol/L)
b.Client complaint of ringing in the ears
A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is having an adverse effect to the medication if which laboratory study result is noted? a. Elevated platelet count b.Elevated serum creatinine c.Low white blood cell count d.Lowered hemoglobin and hematocrit
b.Elevated serum creatinine
The client with human immunodeficiency virus (HIV) infection has been started on therapy with zidovudine. The nurse reviews the laboratory results and determines that the client is experiencing an adverse effect of the medication if which is noted? a. Phosphorus 4.5 mg/dL (1.45 mmol/L) b.Hemoglobin of 10 g/dL (100 mmol/L) c.Blood glucose level 70 mg/dL (3.9 mmol/L) d.Blood urea nitrogen (BUN) 10 mg/dL (3.6 mmol/L)
b.Hemoglobin of 10 g/dL (100 mmol/L)
Dapsone is prescribed for a client with acquired immunodeficiency syndrome (AIDS) for the treatment of toxoplasmosis. The nurse provides medication instructions and determines that the client understands the instructions if the client states that which action is necessary? a. Discontinue the medication if nausea develops. b.Report a sore throat to the primary health care provider (PHCP). c.Plan to take the medication every 4 hours around the clock. d.Expect that abdominal pain and jaundice will occur as normal side effects.
b.Report a sore throat to the primary health care provider (PHCP).
A client with psoriasis is being treated with calcipotriene cream. Administration of high doses of this medication can cause which side or adverse effect? a. alopecia b. hyperkalemia c. hypercalcemia d. thinning of the skin
c. hypercalcemia
A client is seen in the clinic for a complaint of scalp itching that has been persistent over the past several weeks. After an assessment, it is determined that the client has head lice. Permethrin shampoo is prescribed, and the nurse provides instructions to the client regarding the use of the medication. The nurse should tell the client to take which measure? a. Put the medication in 1 time only. b.Leave the medication in for at least 4 hours. c.Wash, rinse, and towel-dry the hair before applying. d.Leave the shampoo on for 8 to 12 hours and then remove by washing.
c.Wash, rinse, and towel-dry the hair before applying.
A burn client has been having 1% silver sulfadiazine applied to burns twice a day for the past 3 days. Which laboratory abnormality indicates that the client is experiencing a side or adverse effect of this medication? a. Serum sodium of 120 mEq/L (120 mmol/L) b.Serum potassium of 3.0 mEq/L (3.0 mmol/L) c.White blood cell count of 3000 mm3 (3 × 109/L) d.pH of 7.30, PaCO2 of 32 mm Hg (32 mmHg), HCO3- of 19 mEq/L (19 mmol/L)
c.White blood cell count of 3000 mm3 (3 × 109/L)
The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication? a. Platelet count of 300,000 mm3 (300 × 109/L) b. Prothrombin time of 12 seconds (12 seconds) c. White blood cell count of 6000 mm3 (6 × 109/L) d. Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)
d. Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)
When teaching a client with glaucoma about the effects of a miotic medication, the nurse should tell the client that the medication will produce which effect? a. Reshape the lens to eliminate blurred vision. b.Dilate the pupil to reduce intraocular pressure. c.Interrupt the drainage of aqueous humor from the eye. d.Lower intraocular pressure and improve blood flow to the retina
d.Lower intraocular pressure and improve blood flow to the retina
The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should monitor the results of which laboratory study while the client is taking this medication? a. CD4 cell count b.Lymphocyte count c.Serum albumin level d.Serum creatinine level
d.Serum creatinine level
The nurse is about to administer the next intravenous dose of tobramycin when the client complains of vertigo and a ringing in the ears. What is the most appropriate nursing action? a. Hang the dose immediately. b.Check the client's pupillary responses. c.Give a dose of droperidol with the tobramycin. d.Withhold the dose and call the primary health care provider (PHCP).
d.Withhold the dose and call the primary health care provider (PHCP).
A client has been given a prescription for sulfasalazine. Which allergy should the nurse assess for in the client prior to administration? a. Sulfonamides or salicylates b.Salicylates or acetaminophen c.Shellfish or calcium channel blockers d.Histamine receptor antagonists or beta blockers
a. sulfonamides or salicylates
The nurse is preparing to administer pentamidine to an assigned client by the intravenous route. The nurse plans to monitor which item most closely after administering this medication? a. capillary refill b. peripheral pulses c. blood pressure (BP) d. level of consciousness
c. blood pressure (BP)
A client is receiving tacrolimus to prevent organ rejection. Which is a nursing consideration associated with this medication? a. Give with cyclosporine. b.Assess for hypoglycemia. c.Give with grapefruit juice. d.Assess platelet count for thrombocytopenia
d.Assess platelet count for thrombocytopenia
A client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication? a. gait b. appetite c. level of consciousness d. gastrointestinal function
a. gait
Isotretinoin is prescribed for a client with severe cystic acne. The nurse provides instructions to the client regarding administration of the medication. Which phrase stated by the client indicates a need for further teaching regarding this medication? a. "I need to continue to take my vitamin A supplements." b."The medication may cause dryness and burning in my eyes." c."I need to use emollients and lip balms for my dry skin and lips." d."I will need to return for a blood test to check my triglyceride level."
a. "I need to continue to take my vitamin A supplements."
Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse? a. Glucose level of 99 mg/dL (5.5 mmol/L) b.Platelet level of 300,000 mm3 (300 × 109/L) c.Magnesium level of 1.5 mEq/L (0.75 mmol/L) d.White blood cell count of 3000 mm3 (3.0 × 109/L)
d.White blood cell count of 3000 mm3 (3.0 × 109/L)
The nurse has provided instructions to a client regarding the use of tretinoin. Which statement made by the client indicates the need for further instruction? a. "I must apply it to wet to damp skin." b."Optimal results will be seen after 6 weeks." c."I will wash my hands thoroughly after applying the medication." d."I will cleanse the skin thoroughly before applying the medication."
a. "I must apply it to wet to damp skin."
The school nurse has provided instructions regarding the use of permethrin rinse to the parents of children diagnosed with pediculosis capitis (head lice). Which statement by one of the parents indicates a need for further instruction? a. "It is applied to the hair and then shampooed out." b."The hair should not be shampooed for 24 hours after treatment." c."The permethrin rinse can be obtained over the counter in a local pharmacy." d."It is applied to the hair after shampooing, left on for 10 minutes, and then rinsed out."
a. "It is applied to the hair and then shampooed out."
The nurse is caring for a client with a diagnosis of Chlamydia. Because the client has a history of noncompliance with medication administration, the primary health care provider prescribes azithromycin. When educating the client about azithromycin, the nurse should make which statement? a. "One dose of this medication will be needed." b."This medication is given only every 72 hours." c."You will need to take this medication every 6 hours." d."You will need to return tomorrow for your second dose."
a. "One dose of this medication will be needed."
A primary health care provider has just prescribed foscarnet to be given intravenously. The nurse should obtain which piece of equipment to administer this medication? a. A glass bottle b.An infusion pump c.A microdrip tubing set d.Special manufacturer's tubing
b.An infusion pump
Abacavir has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication? a. platelet count b. liver function tests c. serum creatinine assay d. blood urea nitrogen determination
b. liver function tests
Tetracycline is prescribed for a client with severe acne. The nurse instructs the client regarding the importance of reporting which finding if it occurs? a. sunburn b. persistant diarrhea c. epigastric burning d. abdominal cramping
b. persistant diarrhea
Tacrolimus is prescribed to a client for prevention of organ rejection after renal transplantation. Which prescription should the nurse anticipate to be prescribed, along with the tacrolimus, for this client? a. phenytoin b. prednisone c. fluconazole d. erythromycin
b. prednisone
Azithromycin has been prescribed for a client. The nurse should instruct the client to take the medication in which way? a. with meals b. 1 hour before meals c. with an aluminum-containing antacid d. with a magnesium-containing antacid
b. 1 hour before meals
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? a. potassium level b. triglyceride level c. hemoglobin A1C d. total cholesterol level
b. triglyceride level
Which medication, if prescribed for the client with glaucoma, should the nurse question? a. betaxolol b. pilocarpine c. erythromycin d. atropine sulfate
d. atropine sulfate
An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was effective if which finding was noted? a. nighttime sedation b. decrease in urticaria c. absence of ecchymosis d. healing of burned tissue
b. decrease in urticaria
Lindane is prescribed. The nurse reviews the client's record, knowing that this medication therapy would be contraindicated in which client? a. a child b. a young adult c. an older client d. a middle-aged client
a. a child
A client who is seropositive for human immunodeficiency virus (HIV) has been taking stavudine. The nurse assesses which most closely while the client is taking this medication? a. Appetite b.Presence of paresthesia c.Gastrointestinal function d.Level of consciousness (LOC)
b.Presence of paresthesia
Zidovudine has been prescribed for a client, and the client asks the nurse about the side effects of the medication. The nurse responds that which is a common side effect of this medication? a. lethargy b. weakness c. headache d. constipation
c. headache
A miotic medication has been prescribed for the client with glaucoma, and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? a. "The medication will help dilate the eye to prevent pressure from occurring." b."The medication will relax the muscles of the eyes and prevent blurred vision." c."The medication causes the pupil to constrict and will lower the pressure in the eye." d."The medication will help block the responses that are sent to the muscles in the eye."
c."The medication causes the pupil to constrict and will lower the pressure in the eye."
A client with glaucoma is receiving acetazolamide. The nurse educator provides education to a group of nurses about the indications for and effect of this medication. Which statement by one of the nurses indicates that the teaching has been effective? a. "This works to prevent hypertension." b."This works to prevent hyperthermia." c."This works to decrease intraocular pressure." d."This works to maintain an adequate blood pressure for cerebral perfusion."
c."This works to decrease intraocular pressure."
Abacavir has been prescribed for a client, and the client asks the nurse about the action of the medication. How should the nurse respond? a. Promotes viral DNA growth b.Prevents the production of DNA c.Splits DNA to prevent its production d.Inhibits activity of HIV-1 reverse transcriptase
d.Inhibits activity of HIV-1 reverse transcriptase
The primary health care provider (PHCP) prescribed tetracycline for a 5-year-old pediatric client. The nurse questions this prescription for what reason? a. It is classified as a narrow-spectrum antibiotic. b.It is identified as safe for use during pregnancy. c.It is used to treat a wide variety of disease processes. d.It is contraindicated in children younger than 8 years of age.
d.It is contraindicated in children younger than 8 years of age.
A child has been prescribed tetracycline hydrochloride. The nurse providing medication information to the mother should plan to emphasize which instruction about giving this medication to the child? a. Give the medication with milk. b.Give the medication with ice cream. c.Mix the medication in a Styrofoam cup. d.Use a straw when giving the medication.
d.Use a straw when giving the medication.
A client has a prescription for ketoconazole. Which instruction should the nurse include in the client's teaching plan? a. Avoid exposure to sunlight. b.Take the medication with an antacid. c.Take the medication on an empty stomach. d.Limit alcohol consumption to 2 oz per day.
a. Avoid exposure to sunlight.
The nurse is creating a plan of care for a client who is receiving amphotericin B intravenously. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which should the nurse include in a list of manifestations to watch for? a. Fatigue b.Confusion c.Visual difficulties d.Increased urinary output
c.Visual difficulties
The home care nurse is reviewing the record of a client newly diagnosed with glaucoma who is scheduled for a home visit. The nurse notes that the primary health care provider (PHCP) has prescribed atropine sulfate and pilocarpine hydrochloride eye drops. The nurse should contact the PHCP before the home visit for which reason? a. Clarify the prescription for the atropine sulfate. b.Clarify the prescription for the pilocarpine hydrochloride. c.Determine the date of the scheduled follow-up PHCP visit. d.Determine the extent of the intraocular pressure caused by the glaucoma.
a. Clarify the prescription for the atropine sulfate.
Sodium hypochlorite solution is prescribed for a client with a wound on the left foot that is draining purulent material. Which action should the nurse plan to take? a. Irrigate the wound with the solution. b.Soak the foot in the solution for 20 minutes daily. c.Place the solution in the wound, and cover with an occlusive dressing. d.Soak a sterile dressing with the solution, and pack the dressing into the wound.
a. Irrigate the wound with the solution.
The nurse provides instructions to a client who will be taking cyclosporine oral solution. Which action should the nurse tell the client to do? a. Mix the concentrate with orange juice. b.Mix the concentrate with grapefruit juice. c.Avoid diluting the concentrate for administration. d.Dilute the concentrate in a Styrofoam cup before administration.
a. Mix the concentrate with orange juice.
A client receiving a dose of intravenous vancomycin begins to experience chills, tachycardia, syncope, and flushing of the face and trunk. What is the nurse's best interpretation of these findings? a. The medication is infusing too rapidly. b.The client is allergic to the medication. c.The client is experiencing upper airway obstruction. d.The medication has interacted with another medication the client is receiving.
a. The medication is infusing too rapidly.
A burn-injured client is receiving treatments of topical mafenide acetate to the site of injury. The nurse should monitor the client for which systemic effect that can occur from the use of this medication? a. acidosis b. alkalosis c. hypotension d. hypertension
a. acidosis
The nurse is providing discharge instructions to a client who will be taking tacrolimus daily following allogenic liver transplantation. The nurse instructs the client that which is a frequent side effect related to this medication? a. diarrhea b. confusion c. loss of memory d. a decrease in urine output
a. diarrhea
The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication? a. itching b. euphoria c. drowsiness d. frequent urination
a. itching
Betaxolol eye drops have been prescribed for a client with glaucoma. The home health nurse preparing to visit the client develops a plan of care that includes monitoring for the side/adverse effects of this medication by taking which assessment action? a. monitoring body weight b. assessing the glucose level c. assessing peripheral pulses d. monitoring body temperature
a. monitoring body weight
The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply. a. Sunscreen should be applied every 8 hours. b.Use sunscreen when participating in outdoor activities. c.Wear a hat, opaque clothing, and sunglasses when in the sun. d.Avoid sun exposure in the late afternoon and early evening hours. e.Examine your body monthly for any lesions that may be suspicious.
b, c, e Use sunscreen when participating in outdoor activities, Wear a hat, opaque clothing, and sunglasses when in the sun, and Examine your body monthly for any lesions that may be suspicious.
A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the client is experiencing a frequent minor side effect related to the medication? a. fever b. vaginal drainage c. severe watery diarrhea d. severe abdominal cramps
b. vaginal drainage
A client who has received a kidney transplant is taking azathioprine, and the nurse provides instructions about the medication. Which statement by the client would indicate a need for further instruction? a. "I need to watch for signs of infection." b."I need to discontinue the medication after 14 days of use." c."I can take the medication with meals to minimize nausea." d."I need to call the health care provider if more than 1 dose is missed."
b."I need to discontinue the medication after 14 days of use."
Topical azelaic acid is prescribed for a client, and the clinic nurse provides instructions regarding the use of this medication. Which statement by the client indicates a need for further instruction? a. "I need to apply the medication twice daily." b."The medication is used to treat my eczema." c."I need to massage a thin film gently into the affected area." d."I need to wash and dry my skin before I apply the medication."
b."The medication is used to treat my eczema."
The primary health care provider has prescribed a topical anti-inflammatory cream for a client with a muscular sprain. The nurse provides instructions to the client regarding the medication. Which statement by the client indicates an understanding of this prescribed treatment? a. "The medication is addicting." b."The medication will act as a local anesthetic." c."I will apply a heating pad to the area after applying the medication." d."The medication may make me sleepy but will stop the muscle spasms."
b."The medication will act as a local anesthetic."
The nurse is caring for a client admitted to the hospital for an infection who is receiving an aminoglycoside twice a day, intravenously. The nurse is planning to obtain blood for a peak aminoglycoside level. When should the blood be drawn? a. Peak level not indicated b.30 minutes after completing the infusion c.1 hour before administration of the infusion d.15 minutes before administration of the infusion
b.30 minutes after completing the infusion
The nurse is preparing to administer piperacillin/tazobactam. An abnormal elevation in which laboratory value should prompt the nurse to withhold the medication and notify the primary health care provider (PHCP) before administering the medication? a. Hematocrit and hemoglobin b.Blood urea nitrogen and creatinine c.Prothrombin time and partial thromboplastin time d.Aspartate aminotransferase and alanine transaminase
b.Blood urea nitrogen and creatinine
A client with a burn injury is applying mafenide acetate cream to the wound. The client calls the primary health care provider's (PHCP's) office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. The nurse should instruct the client to take which action? a. Discontinue the medication. b.Continue with the treatment, as this is expected. c.Apply a thinner film than prescribed to the burn site. d.Come to the office to see the PHCP immediately.
b.Continue with the treatment, as this is expected.
A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this medication, the nurse should most closely assess the client for which finding that indicates a complication? a. Decreased pulse b.Decreased urine output c.Decreased body temperature d.Decreased blood urea nitrogen level
b.Decreased urine output
The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir. The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication? a. Platelet count b.Triglyceride level c.Prothrombin time (PT) d.International normalized ratio (INR)
b.Triglyceride level
The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased? a. pulse b. respirations c. blood pressure d. pulse oximetry
c. blood pressure
Pilocarpine hydrochloride is prescribed for a client with glaucoma. The nurse checks the medication supply room to ensure that atropine sulfate is available for administration in the event that systemic toxicity occurs from the use of pilocarpine hydrochloride. The nurse also monitors for which sign of systemic toxicity? a. flushing b. anorexia c. bradycardia d. hypertension
c. bradycardia
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine. The nurse should monitor the results of which laboratory blood study for adverse effects of therapy? a. Creatinine level b.Potassium concentration c.Complete blood cell (CBC) count d.Blood urea nitrogen (BUN) level
c. complete blood cell (CBC) count
Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs? a. nausea b. lethargy c. hearing loss d. muscle aches
c. hearing loss
A client admitted to the hospital is taking abacavir. The nurse should monitor the client for which adverse effect of the medication? a. insomnia b. diarrhea c. hypotension d. decreased appetite
c. hypotension
A client is prescribed mupirocin intranasally twice daily. The nurse correlates this prescription with the client's medical record and expects to note which result specifically related to the indication for this medication? a. positive MRSA in a surgical wound site on the abdomen b. positive streptococci in the blood and an elevated lactic acid level c. positive methicillin-resistant Staphylococcus aureas (MRSA) by polymerase chain reaction (PCR) d. positive vancomycin-resistant enterococci (VRE) in the urine for the client with a urinary catheter
c. positive methicillin-resistant Staphylococcus aureas (MRSA) by polymerase chain reaction (PCR)
The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse interprets that the client may have the medication discontinued by the primary health care provider if which elevated result is noted? a. Serum protein level b.Blood glucose level c.Serum amylase level d.Serum creatinine level
c. serum amylase level
The nurse provides instructions to a client regarding the use of topical tretinoin. Which statement by the client indicates a need for further instruction? a. "I should begin to see results in about 3 weeks." b."I will apply the medication liberally to the skin." c."I cannot use any cosmetics while I am using this medication." d."I will wash my hands thoroughly after applying this medication."
c."I cannot use any cosmetics while I am using this medication."
Abacavir has been prescribed for a client, and the nurse provides instructions about the medication. Which statement by the client indicates the need for further instruction? a. "This medication will not cure my infection." b."Eating small, frequent meals will help offset the nausea." c."This medication will reduce the risk of transmitting the infection to others." d."I should check with my primary health care provider before taking any over-the-counter medications."
c."This medication will reduce the risk of transmitting the infection to others."
Cyclosporine is prescribed for the client following allogenic kidney transplantation. The nurse should provide which instruction to the client regarding the medication? a. There are no known adverse effects of the medication. b.The medication will need to be taken for a period of 6 months. c.Blood levels of the medication will need to be measured periodically. d.The medication is administered by the intravenous (IV) route on a monthly basis.
c.Blood levels of the medication will need to be measured periodically.
A hospitalized client is diagnosed with scabies. The primary health care provider (PHCP) recommended that the client and the client's roommate be treated with lindane. Which finding, if noted on this client's chart, would alert the nurse to notify the PHCP before the treatment with lindane? a. Client history of diabetes b.Client history of hypertension c.Client history of seizure disorders d.Client history of coronary artery disease
c.Client history of seizure disorders
The nurse has a prescription to administer foscarnet intravenously to a client with acquired immunodeficiency syndrome (AIDS). What should the nurse plan to do before administering this medication? a. Obtain a sputum culture. b.Obtain folic acid as an antidote. c.Place the solution on a controlled infusion pump. d.Ensure that liver enzyme levels have been drawn as a baseline.
c.Place the solution on a controlled infusion pump.
A client taking an antihistamine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken this morning. The nurse interprets this to mean that which adjustment needs to be made? a. lower dose of allergen should be injected. b.A higher dose of allergen should be injected. c.The client should reschedule the appointment. d.The client should have the skin test read a day later than usual.
c.The client should reschedule the appointment.
Itraconazole is prescribed for a client with a fungal infection of the hands. The nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions? a. "I should take the medication on an empty stomach." b."I should decrease my fluid intake while taking the medication." c."I may become unusually fatigued while taking this medication." d."If my urine becomes very dark in color, I should contact my primary health care provider (PHCP)."
d. "If my urine becomes very dark in color, I should contact my primary health care provide (PHCP)."
The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101º F (38.3º C). The nurse continues to assess the client, knowing that this sign most likely indicates which condition? a. That the dose of the medication is too low b.That the client is experiencing toxic effects of the medication c.That the client has developed inadequacy of thermoregulation d. That the client has developed another infection caused by leukopenic effects of the medication
d. That the client has developed another infection caused by leukopenic effects of the medication
In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the primary health care provider's prescriptions, expecting which type of eye drops to be prescribed? a. a miotic agent b. a thiazide diuretic c. an osmotic diuretic d. a mydriatic medication
d. a mydriatic medication
Itraconazole is prescribed for a client to treat a fungal infection. The nurse monitors the client closely for which manifestation that is indicative of an adverse effect? a. diarrhea b. headache c. increased urine output d. anorexia and abdominal pain
d. anorexia and abdominal pain
Blood work has been drawn on a client who has been taking cyclosporine following allogenic liver transplantation. The nurse should check the results of which test to determine the presence of an adverse effect related to this medication? a. hematocrit level b. cholesterol level c. hemoglobin level d. blood urea nitrogen (BUN) level
d. blood urea nitrogen (BUN) level
The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection? a. isoniazid b. rifampin c. ethambutol d. ciprofloxacin
d. ciprofloxacin
A primary health care provider (PHCP) prescribes isotretinoin for a client with severe acne. The nurse reviews the client's record and notifies the PHCP if which prescribed medication is noted on the medication record? a. digoxin b. phenytoin c. furosemide d. doxycycline
d. doxycycline
A client who has undergone renal transplantation is receiving ongoing therapy with cyclosporine. The nurse would be sure to immediately report which abnormal finding? a. decreased creatinine level b. decreased hemoglobin level c. decreased white blood cell (WBC) d. elevated blood urea nitrogen (BUN) level
d. elevated blood urea nitrogen (BUN) level
The nurse notes that a client is receiving lamivudine. The nurse determines that this medication has been prescribed to treat which condition? a. pancreatitis b. pharyngitis c. tonic-clonic seizures d. human immunodeficiency virus (HIV)
d. human immunodeficiency virus (HIV)
The nurse is collecting subjective and objective data from a client and notes that the client is taking abacavir. The nurse determines that this medication has been prescribed to treat which condition? a. otitis media b. heart failure c. urinary tract infection d. human immunodeficiency virus (HIV) infection
d. human immunodeficiency virus (HIV) infection
The nurse is collecting subjective and objective data from a client and notes that the client is taking zidovudine. The nurse determines that this medication has been prescribed to treat which condition? a. ulcerative colitis b. hyperthyroidism c. Addison's disease d. human immunodeficiency virus (HIV) infection
d. human immunodeficiency virus (HIV) infection
The client with acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine. The nurse caring for the client should monitor the client most closely for signs of which adverse effect of the medication? a. nausea b. fatigue c. vomiting d. infection
d. infection
The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication? a. ototoxicity b. neurotoxicity c. cardiotoxicity d. nephrotoxicity
d. nephrotoxicity
A client has been given a prescription for a course of azithromycin. The nurse should tell the client that this medication will relieve which problem? a. pain b. joint inflammation c. high blood pressure d. signs and symptoms of infection
d. signs and symptoms of infection
Isotretinoin is prescribed for a client to treat severe cystic acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction? a. "I need to take the medication with food." b."I will be taking the medication twice a day." c."I will need to take the medication for 15 to 20 weeks." d."I cannot crush or chew the tablets if I have difficulty swallowing them whole."
d."I cannot crush or chew the tablets if I have difficulty swallowing them whole."
A topical corticosteroid is prescribed for a client with dermatitis. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client would indicate a need for further instruction? a. "I need to apply the medication in a thin film." b."I should gently rub the medication into the skin." c."The medication will help relieve the inflammation and itching." d."I should place a bandage over the site after applying the medication."
d."I should place a bandage over the site after applying the medication."
A client with acquired immunodeficiency syndrome (AIDS) experiences nausea, vomiting, and abdominal pain radiating to the back after taking didanosine. The ambulatory care nurse should provide which response as telephone advice to this client? a. "Take crackers and milk with each dose of the medication." b."Decrease the dose of the medication until the next clinic visit." c."This is an uncomfortable but expected side or adverse effect of the medication." d."Report to the health care clinic to be seen by the primary health care provider."
d."Report to the health care clinic to be seen by the primary health care provider."
Silver sulfadiazine is prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments? a. "The medication is an antibacterial." b."The medication will help heal the burn." c."The medication should be applied directly to the wound." d."The medication is likely to cause stinging every time it is applied."
d."The medication is likely to cause stinging every time it is applied."
The client is receiving tobramycin intravenously every 8 hours. Which finding would indicate to the nurse that the client is experiencing an adverse medication effect? a. A sedimentation rate of 10 mm/hr (10 mm/hr) b.A total bilirubin level of 0.5 mg/dL (8.5 mcmol/L) c.A white blood cell count of 6000 mm3 (6 × 109/L) d.A blood urea nitrogen (BUN) level of 30 mg/dL (10.8 mmol/L)
d.A blood urea nitrogen (BUN) level of 30 mg/dL (10.8 mmol/L)
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times? a. Immediately before swimming b.5 minutes before exposure to the sun c.Immediately before exposure to the sun d.At least 30 minutes before exposure to the sun
d.At least 30 minutes before exposure to the sun
A client with glaucoma is given a prescription for a pilocarpine ocular system. The nurse plans to provide which instruction to the client on how to use the medication? a. Apply ½ inch into the eye at bedtime. b.Apply 1 drop of the solution 4 times a day. c.Remove and replace the ocular system every 48 hours. d.Check the eye each morning to make sure that the system is in place.
d.Check the eye each morning to make sure that the system is in place.
Dapsone is prescribed to treat toxoplasmosis in a client with acquired immunodeficiency syndrome. The nurse reinforces medication instructions and tells the client to perform which action? a. Report to the clinic weekly for the injections. b.Plan to take the medication every 6 hours around the clock. c.Discontinue the medication if nausea and vomiting develop. d.Contact the primary health care provider (PHCP) if fever or a sore throat occurs.
d.Contact the primary health care provider (PHCP) if fever or a sore throat occurs.
A client has been receiving foscarnet as part of therapy for the treatment of cytomegalovirus (CMV) retinitis and acquired immunodeficiency syndrome (AIDS). The home care nurse should periodically review results of which laboratory blood test to assess for adverse effects to this medication? a. CD4+ cell count b.Lymphocyte count c.Albumin concentration d.Creatinine concentration
d.Creatinine concentration
The nurse is reviewing the laboratory results for a client receiving tacrolimus. Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication? a. Potassium level of 3.8 mEq/L (3.8 mmol/L) b.Platelet count of 300,000 mm3 (300 × 109/L) c.White blood cell count of 6000 mm3 (6.0 × 109/L) d.Fasting blood glucose of 200 mg/dL (11.1 mmol/L)
d.Fasting blood glucose of 200 mg/dL (11.1 mmol/L)
A client who has been receiving pentamidine intravenously now has a fever with a temperature of 102º F (38.9º C). Keeping in mind that the client has a diagnosis of acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci pneumonia, the nurse should interpret that this fever is most associated with which condition? a. Inadequate thermoregulation b.Insufficient medication dosing c.Toxic nervous system effects from the medication d.Infection caused by leukopenic effects of the medication
d.Infection caused by leukopenic effects of the medication
A client is seen in the clinic for complaints of skin itchiness that has persisted for several weeks. After an assessment, the client is determined to have scabies. Lindane is prescribed, and the nurse provides instructions to the client regarding the use of the medication. Which action should the nurse tell the client to take? a. Apply the cream for 2 days in a row. b.Apply a thick layer of cream to the entire body. c.Apply the cream to the entire body and scalp, excluding the face. d.Leave the cream on for 8 to 12 hours, and then remove it by washing.
d.Leave the cream on for 8 to 12 hours, and then remove it by washing.
An outbreak of head lice infestation has occurred at a local school. The school nurse is providing instructions to the mothers of the children attending the school regarding the application of malathion. The nurse should tell the mothers to take which action? a. Apply the lotion immediately after washing the hair. b.Pour the lotion onto the hair and then rinse immediately. c.Allow the lotion to remain on the hair for 10 minutes and then rinse with water. d.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated shampoo.
d.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated shampoo.
The clinic nurse is caring for a client with a diagnosis of scabies who has just been prescribed crotamiton. The nurse instructs the client to perform which action when applying this medication? a. Apply the medication to the entire body, washing it off after 2 hours. b.Apply the application to the entire body, leave it on for 24 hours, and then take a cleansing bath. c.Apply the medication to the entire body, avoiding the skin folds and creases, and wash it off in 12 hours. d.Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application.
d.Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application.
A client must begin medication therapy with mycophenolate mofetil to prevent organ rejection following renal transplantation. The nurse should provide which important teaching point to the client? a. Take the dose following meals. b.Open the capsule and mix with food before use. c.Take the medication with an aluminum-based antacid. d.Notify the primary health care provider (PHCP) if a fever develops
d.Notify the primary health care provider (PHCP) if a fever develops
Intravenous (IV) antithymocyte globulin is prescribed to a client for treatment of transplant rejection. Which intervention is the priority in planning the administration of this medication? a. Assess bowel sounds. b.Assess the neurovascular status. c.Premedicate the client with acetylsalicylic acid. d.Plan for a skin test dose to identify hypersensitivity.
d.Plan for a skin test dose to identify hypersensitivity.
A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving this medication? a. Monitoring blood glucose levels for elevation b.Administering the medication on an empty stomach only c.Applying pressure to venipuncture sites for at least 1 minute d.Providing the client with a soft toothbrush and an electric razor
d.Providing the client with a soft toothbrush and an electric razor
The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101° F (38.3° C). The nurse continues to assess the client, knowing that this sign most likely indicates which condition? a. That the dose of the medication is too low b.That the client is experiencing toxic effects of the medication c. That the client has developed inadequacy of thermoregulation d.That the client has developed another infection caused by leukopenic effects of the medication
d.That the client has developed another infection caused by leukopenic effects of the medication
