SAUNDERS-PHARMACOLOGY

The nurse is assigned to care for a client with a diagnosis of toxoplasmosis. The physician has prescribed sulfasalazine. The nurse preparing to administer the medication would determine that this medication is in which drug category?

Sulfonamide

The client is prescribed oral erythromycin. The nurse would reinforce which instruction regarding the administration of this medication?

Take on an empty stomach.

Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse, in collaboration with the RN, would make which interpretation about the client's complaints?

The client is experiencing a pulmonary reaction requiring cessation of the medication.

Penicillin V potassium, 250 mg orally every 8 hours, is prescribed for a child with a respiratory infection. The child's weight is 45 pounds. The safe pediatric dosage is 25 to 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child?

The dosage is within the safe dosage range.

The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours as needed (PRN) for pain, is prescribed. The pediatric drug reference states that the safe dosage is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. What would the nurse determine about the medication dosage?

The dosage is within the safe range.

A client with cancer is receiving cisplatin. Which findings indicate that the client is experiencing an adverse effect of the medication? Select all that apply.

Tinnitus High-frequency hearing loss

A client is taking large doses of acetylsalicylic acid for rheumatoid arthritis. The nurse tells the client to report which signs/symptoms of ototoxicity?

Tinnitus, hearing loss, dizziness, ataxia

Meperidine hydrochloride is prescribed for a client with pain. Which would the nurse monitor as a side effect of this medication?

Urinary retention

The nurse provides discharge instructions to a client with atrial fibrillation who is taking warfarin sodium. Which statement by the client reflects a need for further teaching?

"I will take coated aspirin for my headaches."

A client with aldosteronism has been instructed on spironolactone treatment. Which client statement indicates that the client needs further teaching about the medication?

"This medication will decrease my blood glucose."

The nurse has given instructions to a client with biliary disease who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?

"This medication would only be taken with water."

A client reports to the clinic for follow-up after a 1-month treatment with acebutolol. The nurse determines that a therapeutic effect of the medication has occurred if which response is noted?

A blood pressure of 130/84 mm Hg

The nurse is monitoring a client receiving glipizide. Which outcome indicates an ineffective response from the medication?

A glycosylated hemoglobin level of 12%

A client has been prescribed acarbose for treatment of diabetes mellitus. Client teaching regarding this medication would include which instructions? Select all that apply.

Abdominal cramping is common. Side effects include excessive flatulence. The medication is taken with each meal.

A client is taking ticlopidine hydrochloride. The nurse tells the client to avoid which substance while taking this medication?

Acetylsalicylic acid

A client is suspected of having myasthenia gravis, and the physician administers edrophonium to determine the diagnosis. After administration of this medication, which sign or symptom would indicate the presence of myasthenia gravis?

An increase in muscle strength

A client with a closed head injury is receiving phenytoin, an anticonvulsant medication. Which would indicate that the client is experiencing side effects related to this medication? Select all that apply.

Constipation Bleeding gums Hyperglycemia Decreased platelet count

In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops at 0900 for surgery that is scheduled for 0915. What initial action would the nurse take in relation to the characteristics of the medication action?

Consult the surgeon, as there is not sufficient time for the dilative effects to occur.

The nurse is caring for a client diagnosed with Parkinson's disease who is prescribed benztropine mesylate daily. The nurse reinforces instructions to both the client and the spouse regarding the side effects of this medication and the need to report which side effect if it occurs?

Inability to urinate

The nurse employed in a neighborhood health care clinic notes that the primary health care provider has prescribed oseltamivir. The nurse would reinforce teaching the client specific home care measures after determining that this medication was prescribed for which condition?

Influenza virus

The nurse is caring for a client with glaucoma who is receiving acetazolamide daily. Which sign or symptom indicates to the nurse that the client is experiencing an adverse effect related to the medication?

Low back pain and dysuria

The nurse is preparing to administer ribavirin to a child with a diagnosis of respiratory syncytial virus (RSV). The pharmacy dispenses the medication as a powder. Which action would the nurse plan to perform in preparation to administer the medication?

Mixing the medication as prescribed and administering by inhalation

A client with gastroenteritis has an as-needed prescription for ondansetron. For which condition(s) would the nurse administer this medication?

Nausea and vomiting

A client is receiving heparin sodium by continuous intravenous (IV) infusion. The licensed practical nurse (LPN) is concerned that the client received a bolus of medication when the tubing was removed from the IV pump during a gown change. The LPN immediately notifies the registered nurse and then checks to see whether which medication is available in the medication supply area in case it is prescribed?

Protamine sulfate

The physician has prescribed morphine sulfate intravenous push for a client with pulmonary edema. Which therapeutic effects would the nurse expect in this client? Select all that apply.

Relief of anxiety Reduction of oxygen consumption Improvement in efficacy of breathing