RN Pharmacology Online Practice 2019 B
A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with iansopazole. The nurse should monitor the client for which of the following manifestations? Bradycardia Hypotension Muscle weakness Disorientation
Disorientation
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 the client is beginning to exhibit salicylism? Gastric distress Oliguria Excessive bruising Tinnitus
Tinnitus
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? "I will apply the patch once a week for 2 weeks." "I will leave the existing patch on for 4 hours after applying the new patch." "I will fold the sticky sides of the old patch together before disposing it." "I will apply the patch within 14 days of menses."
" I will fold the sticky sides of the old patch together before disposing it."
A nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understand of the teaching? "I will stop taking famotidine when my stomach pain is gone." "I know smoking makes famotidine less effective." "I will take famotidine anytime my stomach hurts." "I know that famotidine will turn my stools black."
"I know smoking makes famotidine less effective."
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 an understanding of the teaching? "I can apply the patch to a chest area that has hair." "I can take this medication while using an erectile dysfunction product." "I will remove the patch after 14 hours." "I need to apply a new patch to the same area every day."
"I will remove the patch after 14 hours."
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? (Select all that apply.) "Take the second dose at bedtime." "Increase intake of potassium-rich foods." "Obtain your weight weekly." "Monitor for muscle weakness." "Dangle your legs from the side of the bed before standing."
"Increase intake of potassium-rich foods" "Monitor for muscle weakness" "Dangle your legs from the side of the bed before standing"
A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client. 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 completing an incident report for a medication error. Which of the following information should the nurse include in the report? This could have been avoided if I had double checked the medication administration record with the client's identification band. It was easy to get confused because another client is receiving a similar sounding medication. Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication. While I rarely make medication errors, the client was given 80 mg of propranolol by mistake at 1800.
Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication.
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse? Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg Administers digoxin to a client who has a heart rate of 92/min Administers regular insulin to a client who has a blood glucose of 250 mg/dL Administers heparin to a client who has an aPTT of 70 seconds
Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg
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 for receiving propranolol? Cholelithiasis Asthma Angina pectoris Tachycardia
Asthma
A nurse is caring for a client who is recovering from 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? Hypertension Low INR Constipation Bleeding gums
Bleeding gums
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 Beclomethasone Budesonide Tiotropium
Cromolyn
A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following findings should the nurse document as a therapeutic outcome? Increase in seizure threshold Decrease in flexor and extensor spasticity Increase in cognitive function Decrease in paralysis of the extremities
Decrease in flexor and extensor spasticity
A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? Acetaminophen Ipratropium Benzonatate Doxycycline
Doxycycline
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? Plan to increase the dosage each week by 200 mg increments. Prolonged use of the medication can cause glaucoma. Drink 2 L of water daily. A fine red rash is transient and can be treated with antihistamines.
Drink 2 L of water daily.
A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? Write the order on a prescription pad designated for the client's provider. Have the provider spell out the unfamiliar medication names. Read the prescription back to the provider using abbreviations. Consult with a second nurse for any questions regarding dosage.
Have the provider spell out the unfamiliar medication names.
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? (Select all that apply) Hemoglobin 7.0 g/dL Creatinine 1 mg/dL RBC 4.7 million/mm3 Platelets 75,000/mm3 Potassium 5.2 mEq/L
Hemoglobin 7.0 g/dL Platelets 75,000/mm3 Potassium 5.2 mEq/L
A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? Bradycardia Hyperkalemia Loss of smell Hypoglycemia
Hyperkalemia
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? Paresthesia Increased blood pressure Fever Respiratory depression
Increased blood pressure
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? Decreased blood pressure Increased heart rate Increased cardiac output Decreased serum potassium
Increased cardiac output
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse expect to administer? Bupropion Disulfiram Methadone Modafinil
Methadone
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering the medication? Ask the client to drink 8 oz of water. Review the client's most recent Hgb level. Obtain the client's blood pressure. Determine if the client is allergic to NSAIDs.
Obtain the client's blood pressure.
A nurse is providing teaching to a client 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? Vitamin E Orange juice Milk Antacids
Orange juice (Vit. C)
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? Hypoglycemia Orthostatic hypotension Bradycardia Conjunctivitis
Orthostatic hypotension
A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports confused and anxious. Which of the following actions should the nurse take first? Perform a capillary blood glucose test. Provide the client with a protein-rich snack. Give the client 120 mL (4 oz) of orange juice. Schedule an early meal tray.
Perform a capillary blood glucose test.
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? Schedule the client for the last surgery of the day. Place monitoring cords and tubes in a stockinet. Choose rubber injection ports for fluid administration. Ensure phenytoin IV is readily available.
Place monitoring cords and tubes in a stockinet.
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? Administer the reconstituted medication slowly over 5 min. Store the reconstituted medication in the refrigerator. Use the reconstituted medication within 12 hr. Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
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? The provider will prescribe naloxone at home for respiratory depression. Remove the patch to reverse the adverse effects immediately. Expect an increase in urinary output. Take a stool softener on a daily basis.
Take a stool softener on a daily basis
A nurse is reviewing the laboratory results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider? Potassium 4.1 mEq/L 24-hour urine glucose 300 mg/day Carbamazepine level 7 mcg/mL WBC 3,500/mm3
WBC 3,500/mm3
A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the following as an adverse effect of the medication? Akathisia Paresthesia Excess tear production Anxiety
akathisia
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? Chest pressure White patches on the tongue Bruising Insomnia
chest pressure
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? creatinine kinase erythrocyte sedimentation rate international normalized ratio potassium
creatinine kinase
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? Tinnitus Urinary frequency Dry mouth Exopthalmos
dry mouth
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? Hyperventilation Heartburn Anorexia Swollen ankles
hyperventilation
A nurse administered digoxin immune Fab to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicates the antidote was effective? Normal sinus rhythm Digoxin level of 2.5 ng/mL Decrease in blood pressure Potassium level of 3.2 mEq/L
normal sinus rhythm
A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? Troponin Total cholesterol Creatinine Thyroid stimulating hormone
total cholesterol
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? Muscle twitching Cough Urinary retention Increased libido
urinary retention
A nurse is teaching about zolpidem to a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I will need to get laboratory testing prior to a refill of this medication." "I will use this medication for a short period of time." "I will need to take this medication for 1 week before results are seen." "I will need to change the medications to prevent building up a tolerance.""I will use this medication for a short period of time."
"I will use this medication for a short period of time."
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr?
188 mL/hr
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? Take the medication on an empty stomach. Avoid crowds. Discontinue the medication if palpitations occur. Change positions slowly.
Change positions slowly
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? Difficulty seeing in the dark Pinpoint pupils Blurred vision Excessive tearing
blurred vision
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse report to the provider? Hot flashes Gastrointestinal irritation Vaginal dryness Leg tenderness
leg tenderness
A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication? Positive Chvostek's sign Client report of decreased paresthesia Client report of increased thirst Calcium level of 8.8 mg/dL
Client report of decreased paresthesia
A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazidime 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? Total bilirubin 0.4 mg/dL Alanine aminotransferase 26 units/L Platelet count 360,000/mm3 Creatinine 2.6 mg/dL
Creatinine 2.6 mg/dL
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. Docusate sodium causes rectal contractions. Docusate sodium acts as a fiber agent, increasing bulk in the intestines. Docusate sodium stimulates the motility of the intestines.
Docusate sodium reduces the surface tension of the stools to change their consistency.
A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take? Ensure flumazenil is available to administer for toxicity management. Monitor the client for an increase in blood pressure. Expect the client to become unconscious within 30 seconds. Measure the capnography level every hour until the client is awake and oriented.
Ensure flumazenil is available to administer for toxicity management.
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? Infuse 0.9% sodium chloride 1,000 mL IV fluid bolus. Schedule the client for an electroencephalogram. Obtain WBC with absolute neutrophil count. Place the client on a tyramine-free diet.
Obtain WBC with absolute neutrophil count
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The clinet tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse take first? Update the client's medical record. Notify the provider. Withhold the medication. Inform the pharmacist of the client's allergy to penicillin.
withhold the medication.
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? "This medication increases your risk for hypertension." "Avoid potassium-rich foods in your diet." "Take each dose of medication in the evening before bed." "Drink a glass of milk with each dose of medication."
"Drink a glass of milk with each dose of medication."
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 stop taking the medication if I get dizzy." "I should not drink orange juice while taking this medication." "I should expect to gain weight while taking this medication." "I will check my heart rate before I take the medication."
"I will check my heart rate before I take the medication."
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? Dry cough Pedal edema Bruising Yellow-tinged vision
Yellow-tinged vision
A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? "I should start to feel better within 24 hours of starting this medication." "I will be sure to follow a strict diet to avoid foods with tyramine." "I will continue to take St. John's Wort to increase the effects of the medication." "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."
"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication." Fluoxetine suppresses platelet aggregation, which increases the risk of bleeding when used concurrently with NSAIDs and anticoagulants. Therefore, clients who are taking fluoxetine should take acetaminophen for headaches or pain, since acetaminophen does not suppress platelet aggregation.
A nurse is teaching about a new prescription for ciprofloxacin to a client who has a UTI. The nurse should identify which of the following statements as an indication that the client understands the teaching? "I will take this medication with an antacid to prevent gastrointestinal upset." "I will stop taking this medication when I no longer have pain upon urination." "I will report any signs of tendon pain or swelling." "I will take this medication with milk."
"I will report any signs of tendon pain or swelling."
A nurse is providing discharge instructions to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective? "I should avoid getting rid of the air bubble in the syringe." "I should inject the insulin into my thigh for the fastest absorption." "I will store my unopened bottles of insulin in the refrigerator." "I need to shake the insulin before using it to make sure it is well mixed."
"I will store my unopened bottles of insulin in the refrigerator."
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? Administer epinephrine 0.5 mL via IV bolus. Discontinue the medication IV infusion. Elevate the client's legs above the level of the heart. Collect a blood specimen for ABGs.
Discontinue the medication IV infusion
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? Take the medication with food. Expect a fine, red rash as a transient effect. Drink 8 to 10 glasses of water daily. Store the medication in the refrigerator.
Drink 8 to 10 glasses of water daily.
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? The client reports shortness of breath. The client is also taking lisinopril. The client's pulse rate is 60/min. The client's WBC count is 14,000/mm3.
The client reports shortness of breath.
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? "Blood glucose levels will need to be monitored during therapy." "Avoid contact with persons who have known infections." "Take the medication 1 hour before a meal." "Decrease intake of foods containing potassium. " "Grapefruit juice can increase the blood levels of the medication."
"Blood glucose levels will be monitored during therapy"" Avoid contact with persons who have known infections" "Grapefruit juice can increase the blood levels of the medication"
A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make? "By not taking your furosemide, you might retain fluid and develop swelling." "You can double your dose of furosemide this evening if that would be better for you." "If you do not take your furosemide, we might get in trouble." "I'll go ahead and mix the furosemide into your breakfast cereal."
"By not taking your furosemide, you might retain fluid and develop swelling."
